Organization
BENEDICT ASSISTED LIVING HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA LIZA NARANJO CADAVOS (OWNER/DESIGNEE)
(907) 350-0978
Entity
Organization
Contact information
Practice address
3511 ALAMOSA DR, ANCHORAGE, AK 99502-5222
(907) 350-0978
(907) 865-2464
Mailing address
3511 ALAMOSA DR, ANCHORAGE, AK 99502-5222
(907) 350-0978
(907) 865-2464
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1039375
AK
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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