Organization
RIDGEWAY FAMILY BUSINESS L.L.C.
Active
Other names
Ridgeway Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE RIDGEWAY (OWNER/ADMINISTRATOR)
(907) 310-5310
Entity
Organization
Contact information
Practice address
6239 E 12TH AVE, ANCHORAGE, AK 99504-2335
(907) 310-5310
Mailing address
6239 E 12TH AVE, ANCHORAGE, AK 99504-2335
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101449
STATE OF ALASKA RESIDENTIAL LICENSE
AK
Enumeration date
11/05/2021
Last updated
11/05/2021
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