Organization
THE GOOD SHEPHERD HOME
Active
Organization
THE GOOD SHEPHERD HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EPIFANIA BALMACEDA NURSE (ADMINISTRATOR)
(907) 644-0627
Entity
Organization
Contact information
Practice address
243 KLEVIN ST, ANCHORAGE, AK 99508-2149
(907) 644-0627
Mailing address
243 KLEVIN ST, ANCHORAGE, AK 99508-2149
(907) 644-0627
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL0605
—
AK
Enumeration date
04/17/2007
Last updated
08/22/2020
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