Organization
ELENAS PLACE CORPORATION
Active
Other names
Good Samaritan Assisted Living Home
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO DOMONDON REGACHO ELEMENTARY TEACHER (ADMINISTRATOR)
(907) 336-9090
Entity
Organization
Contact information
Practice address
8611 ARCTIC BLVD # 1, SAME, ANCHORAGE, AK 99515-1708
(907) 336-9090
(907) 336-9090
Mailing address
8611 ARCTIC BLVD # 1, SAME, ANCHORAGE, AK 99515-1708
(907) 336-9090
(907) 336-9090
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
000156
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL82901
—
AK
Enumeration date
01/22/2008
Last updated
06/20/2008
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