Organization
LILAC ASSISTED LIVING HOME LLC
Active
Other names
Lilac Assisted Living Home
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE ANGELIE ONG RN (OWNER)
(907) 891-5646
Entity
Organization
Contact information
Practice address
7521 WADE CIR, ANCHORAGE, AK 99518-2050
(907) 891-5646
Mailing address
1740 W 99TH AVE, ANCHORAGE, AK 99515-4510
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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