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Organization

FRONTIER ST. ELIAS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA LYNNETTER DEFOYD (OWNER/ADMINISTRATOR)
(541) 990-9911
Entity
Organization

Contact information

Practice address
1015 EVERGREEN ST, FAIRBANKS, AK 99709-4306
(541) 990-9911
(907) 328-2203
Mailing address
1015 EVERGREEN ST, FAIRBANKS, AK 99709-4306
(541) 990-9911
(907) 328-2203

Taxonomy

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

Other

Enumeration date
07/23/2024
Last updated
07/23/2024
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