Organization
AURORA BOREALIS ASSISTED LIVING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. POMPOSA LUCAS PORTERFIELD CNA (ADMINISTRATOR)
(907) 688-2283
Entity
Organization
Contact information
Practice address
22179 NORTH BIRCHWOOD LOOP, CHUGIAK, AK 99567
(907) 688-2283
Mailing address
PO BOX 670030, CHUGIAK, AK 99567-0030
(907) 688-2283
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
939279
AK
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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