Organization
IMELDA P SIPIN
Active
Organization
IMELDA P SIPIN
Active
Other names
Santo Nino Assisted Living Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IMELDA PAISTE SIPIN (ADMINISTRATOR OWNER)
(907) 646-1341
Entity
Organization
Contact information
Practice address
2900 E 18TH AVE, ANCHORAGE, AK 99508-3384
(907) 646-1341
(907) 646-1341
Mailing address
3610 HOLLYBERRY CR, ANCHORAGE, AK 99507-2584
(907) 646-1341
(907) 646-1341
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
000264
AK
310400000X
Assisted Living Facility
Primary
427933
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL 4054
—
AK
Enumeration date
01/24/2007
Last updated
08/14/2008
Update your record
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