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Organization

LAIMA ASSISTED LIVING HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDY BARNACHEA PENTECOSTES (ADMINISTRATOR)
(907) 868-1106
Entity
Organization

Contact information

Practice address
9110 JUPITER DR, ANCHORAGE, AK 99507-3703
(907) 868-1106
(907) 868-7663
Mailing address
9110 JUPITER DR, ANCHORAGE, AK 99507-3703
(907) 868-1106
(907) 868-7663

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100827
AK

Other

Enumeration date
04/25/2010
Last updated
04/27/2010
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