Organization
HILLSIDE EXTENDED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ULYANA PETROVNA STIASSNY M.D. (ADMINISTRATOR)
(907) 644-8838
Entity
Organization
Contact information
Practice address
3830 HUFFMAN RD, ANCHORAGE, AK 99516-2118
(907) 644-8838
Mailing address
3830 HUFFMAN RD, ANCHORAGE, AK 99516-2118
(907) 644-8838
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100694
AK
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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