Organization
SANCTUARY II ALH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY B JONES (ADMINISTRATOR/OWNER)
(907) 764-8331
Entity
Organization
Contact information
Practice address
8901 LAKEHURST DR UNIT A, ANCHORAGE, AK 99502-5161
(907) 764-8331
Mailing address
6700 ROCKRIDGE DR, ANCHORAGE, AK 99516-1898
(907) 764-8331
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
100619
AK
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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