Organization
HOPE HAVEN ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLADYS EGGER (ADMINISTRATOR)
(907) 750-7788
Entity
Organization
Contact information
Practice address
1511 21ST AVE, FAIRBANKS, AK 99701-6443
(907) 750-7788
Mailing address
1511 21 AVE, FAIRBANKS, AK 99701
(907) 750-7788
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100744
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AK
Enumeration date
06/06/2013
Last updated
06/06/2013
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