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Organization

ALPHA-OMEGA ALH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. YOUNG HAN JI (OWNER/ADMINISTRATOR)
(907) 245-7405
Entity
Organization

Contact information

Practice address
1023 STATE ST UNIT B, ANCHORAGE, AK 99504-2038
(907) 245-7405
(907) 561-0087
Mailing address
1023 STATE ST UNIT B, ANCHORAGE, AK 99504
(907) 245-7405
(907) 561-0087

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100922
AK

Other

Enumeration date
10/26/2012
Last updated
10/26/2012
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