Organization
KIWI ASSISTED LIVING HOME III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY BOLLOZOS FRANCISCO (OWNER)
(907) 227-5573
Entity
Organization
Contact information
Practice address
2948 PRINCETON WAY, ANCHORAGE, AK 99508-4479
(907) 227-5573
(907) 274-2752
Mailing address
2948 PRINCETON WAY, ANCHORAGE, AK 99508-4479
(907) 227-5573
(907) 274-2752
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770606543
—
AK
Enumeration date
05/30/2012
Last updated
10/17/2012
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