Organization
MARIA ANGELICA ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L DANIEL (CO-ADMINISTRATOR)
(907) 563-6435
Entity
Organization
Contact information
Practice address
4121 GRAPE PLACE #1, ANCHORAGE, AK 99508-5174
(907) 563-6435
(907) 770-1168
Mailing address
4121 GRAPE PLACE #1, ANCHORAGE, AK 99508-5174
(907) 563-6435
(907) 770-1168
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
000115
AK
311Z00000X
Custodial Care Facility
434978
AK
311ZA0620X
Adult Care Home Facility
Primary
000115
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RL7858
FIRST HEALTH PROVIDER NUM
AK
Enumeration date
04/06/2007
Last updated
09/11/2025
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