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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