Organization
ST LAWRENCE ASSISTED LIVING INC
Active
Organization
ST LAWRENCE ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESITA SERGIO CORRAL C.N.A. (ADMINISTRATOR)
(907) 336-4635
Entity
Organization
Contact information
Practice address
9221 APHRODITE DR, ANCHORAGE, AK 99515-1498
(907) 336-4635
(907) 245-2782
Mailing address
10642 BRIGANTINE CIR, ANCHORAGE, AK 99515-2434
(907) 336-4635
(907) 245-2782
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
167
AK
Other
Enumeration date
01/26/2008
Last updated
01/26/2008
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