Organization
JAMIEZON ALH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORAZON P GARCIA (ADMINISTRATOR)
(907) 868-5296
Entity
Organization
Contact information
Practice address
2280 LAKE GEORGE DR, ANCHORAGE, AK 99504-3517
(907) 868-5296
(907) 337-5296
Mailing address
2280 LAKE GEORGE DR, ANCHORAGE, AK 99504-3517
(907) 868-5296
(907) 337-5296
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100486
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL 6544
—
AK
Enumeration date
04/05/2007
Last updated
06/18/2008
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