Organization
FORGET ME NOT ASSISTED LIVING HOME, INC.
Active
Organization
FORGET ME NOT ASSISTED LIVING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN V DICKINSON (ADMINISTRATOR)
(907) 336-9220
Entity
Organization
Contact information
Practice address
9220 APHRODITE DR, ANCHORAGE, AK 99515-1498
(907) 336-9220
Mailing address
9220 APHRODITE DR, ANCHORAGE, AK 99515-1498
(907) 336-9220
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000266
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL4284
—
AK
Enumeration date
05/29/2007
Last updated
10/28/2008
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