Organization
BROKEN SPARROW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONTE WILLIAMS (DIRECTOR)
(907) 227-2066
Entity
Organization
Contact information
Practice address
3231 DORA AVE, ANCHORAGE, AK 99516-4079
(907) 250-9886
Mailing address
3231 DORA AVE, ANCHORAGE, AK 99516-4079
(907) 250-9886
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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