Organization
DIVINE GRACE ALH
Active
Parent organization
DIVINE GRACE ALH
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIVINE GRACE ALH
Authorized official
MISS LEA MINA (ADMINISTRATOR)
(907) 727-5986
Entity
Organization
Contact information
Practice address
7940 LADASA PL, ANCHORAGE, AK 99507-3052
(907) 727-5986
(907) 743-3061
Mailing address
7940 LADASA PL, ANCHORAGE, AK 99507-3052
(907) 727-5986
(907) 743-3061
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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