Organization
ABUELITA ALH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRICELDA CLORINDA VALENCIA (PRESIDENT, ADMINISTRATOR)
(907) 350-6585
Entity
Organization
Contact information
Practice address
1105 SAN ANTONIO ST, ANCHORAGE, AK 99508-2764
(907) 350-6585
(907) 272-4291
Mailing address
1105 SAN ANTONIO ST, ANCHORAGE, AK 99508-2764
(907) 350-6585
(907) 272-4291
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
949703
AK
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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