Organization
MAGNOLIA MANOR ALH
Active
Other names
Magnolia Manor
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI FIELD (OWNER/ADMINISTRATOR)
(907) 841-6471
Entity
Organization
Contact information
Practice address
751 N SOMERET CIR, WASILLA, AK 99654-6380
(907) 841-6471
Mailing address
3296 E TRAVIS LN, WASILLA, AK 99654-0422
(907) 841-6471
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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