Organization
M.G.D. ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERLINA G DUGGAN (OWNER/DESIGNEE)
(907) 644-0627
Entity
Organization
Contact information
Practice address
243 KLEVIN ST, ANCHORAGE, AK 99508-2149
(907) 644-0627
(907) 868-2589
Mailing address
243 KLEVIN ST, ANCHORAGE, AK 99508-2149
(907) 644-0627
(907) 868-2589
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
101101
AK
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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