Organization
CHADELLYNH HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILOU ALONSO (ADMINISTRATOR)
(907) 764-9223
Entity
Organization
Contact information
Practice address
3120 W 79TH AVE, ANCHORAGE, AK 99502-4406
(907) 764-9223
(907) 222-6506
Mailing address
3400 PRINCETON WAY, ANCHORAGE, AK 99508-4443
(907) 764-9223
(907) 222-6506
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100665
AK
Other
Enumeration date
01/24/2008
Last updated
01/25/2008
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