Organization
ELENAS PLACE CORPORATION
Active
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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