Organization
SHEPHERD'S HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILANETA V TYRELL CNA (ADMINISTRATOR)
(907) 332-0627
Entity
Organization
Contact information
Practice address
245 FIREOVED DR, ANCHORAGE, AK 99508-2523
(907) 332-0627
Mailing address
245 FIREOVED DR, ANCHORAGE, AK 99508-2523
(907) 332-0627
(907) 770-0614
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1012920
AK
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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