Organization
OUR LADY OF LOURDES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVA VALDEZ (ADMINISTRATOR)
(907) 333-4692
Entity
Organization
Contact information
Practice address
1931 GREENDALE DR, ANCHORAGE, AK 99504-2923
(907) 333-4692
Mailing address
1931 GREENDALE DR, ANCHORAGE, AK 99504-2923
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
000011
AK
385H00000X
Respite Care
Primary
000011
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC4692
—
AK
05
—
RL4692
—
AK
Enumeration date
04/12/2007
Last updated
09/11/2025
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