Organization
ELENAS PLACE II CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO DOMONDON REGACHO (REPRESENTATIVE)
(907) 830-8706
Entity
Organization
Contact information
Practice address
8611 #1 ARCTIC BOULEVARD, ANCHORAGE, AK 99515
(907) 830-8706
(907) 336-9090
Mailing address
8611 #1 ARCTIC BOULIVARD, ANCHORAGE, AK 99515
(907) 830-8706
(907) 336-9090
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
000156
AK
Other
Enumeration date
04/23/2007
Last updated
08/07/2007
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