Organization
SOUTHPORT ALH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOSEFINA G ISLA (OWNER)
(907) 360-6621
Entity
Organization
Contact information
Practice address
10530 CONSTITUTION ST, ANCHORAGE, AK 99515-2510
(907) 349-1402
Mailing address
10530 CONSTITUTION ST, ANCHORAGE, AK 99515-2510
(907) 349-1402
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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