Organization
MOUNTAINSIDE ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIAH LAGER (DESIGNEE)
(907) 635-6424
Entity
Organization
Contact information
Practice address
633 5TH ST, DOUGLAS, AK 99824-5512
(907) 988-6422
Mailing address
633 5TH ST, DOUGLAS, AK 99824-5512
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
101026
AK
Other
Enumeration date
01/24/2014
Last updated
01/10/2015
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