Organization
GENEVIEVE ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN G. MINA R.N. (ADMINISTRATOR)
(907) 230-0876
Entity
Organization
Contact information
Practice address
1922 LOGAN ST, ANCHORAGE, AK 99508-3281
(907) 222-1980
(907) 222-2419
Mailing address
3627 RANDOLPH ST, ANCHORAGE, AK 99508-4526
(907) 561-7529
(907) 222-2419
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC3627
—
AK
05
—
HC36271
—
AL
05
—
RL3276
—
AK
05
—
RL3627
—
AK
05
—
RL36271
—
AK
Enumeration date
03/24/2007
Last updated
08/22/2020
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