Organization
ROXANNE'S ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEMETRIA CADDALI CALETENA (OWNER)
(907) 317-2176
Entity
Organization
Contact information
Practice address
2028 TERREBONNE LOOP, ANCHORAGE, AK 99502-7276
(907) 243-5802
Mailing address
2028 TERREBONNE LOOP, ANCHORAGE, AK 99502-7276
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100421
AK
Other
Enumeration date
04/19/2007
Last updated
07/31/2008
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