Organization
COUNTRY ROSE MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA JEAN DESCHAINE (OWNER ADMINSTRATOR)
(907) 348-0009
Entity
Organization
Contact information
Practice address
14041 SABINE ST, ANCHORAGE, AK 99516-3910
(907) 348-0009
(907) 344-6767
Mailing address
14041 SABINE ST, ANCHORAGE, AK 99516-3910
(907) 348-0009
(907) 344-6767
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100130
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RL0936
PROVIDER INDENTIFACTION
AK
Enumeration date
05/10/2007
Last updated
08/22/2020
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