Organization
OUR LADY OF LOURDES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEO VALDEZ (ADMINISTRATOR)
(907) 350-7203
Entity
Organization
Contact information
Practice address
1931 GREENDALE DR, ANCHORAGE, AK 99504-2923
(907) 350-7203
Mailing address
1931 GREENDALE DR, ANCHORAGE, AK 99504-2923
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000011
AK
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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