Organization
HAINES ASSISTED LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT GERARD HANSEN CNA (ADMINISTRATOR)
(907) 766-3616
Entity
Organization
Contact information
Practice address
219 UNION ST., HAINES, AK 99827-0916
(907) 766-3616
(907) 766-3617
Mailing address
PO BOX 916, HAINES, AK 99827-0916
(907) 766-3616
(907) 766-3617
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100793
AK
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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