Organization
ST THOMAS ALH II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLEDZ LERIOS LASTIMOSO R.N. (ADMINISTRATOR)
(907) 644-1055
Entity
Organization
Contact information
Practice address
6885 TOWN AND COUNTRY PL, ANCHORAGE, AK 99502-2845
(907) 644-1055
Mailing address
8401 BERRY PATCH DR, ANCHORAGE, AK 99502-7265
(907) 644-1055
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100720
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376722454
—
AK
Enumeration date
10/17/2008
Last updated
10/17/2008
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