Organization
AK NURTURED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MACON (ADMIN/OWNER)
(907) 903-1930
Entity
Organization
Contact information
Practice address
17350 E DORISMAE CIR, PALMER, AK 99645-7665
(907) 745-3550
Mailing address
17350 E DORISMAE CIR, PALMER, AK 99645-7665
(907) 745-3550
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101120
AK
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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