Organization
DIVINE PROMISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI HARRISON (ADMINISTRATOR)
(907) 947-9678
Entity
Organization
Contact information
Practice address
1005 W 77TH AVE, ANCHORAGE, AK 99518-2403
(907) 947-9678
(907) 929-1113
Mailing address
1005 W 77TH AVE, ANCHORAGE, AK 99518-2403
(907) 947-9678
(907) 929-1113
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
935193
AK
Other
Enumeration date
12/02/2009
Last updated
01/21/2010
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