Organization
TWIN HEARTS ALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ILUMINADA PUNO FLORES (ADMINISTRATOR)
(907) 339-9328
Entity
Organization
Contact information
Practice address
1111 BOSTON ST, ANCHORAGE, AK 99504-2015
(907) 339-9328
(907) 770-6019
Mailing address
1111 BOSTON STREET, ANCHORAGE, AK 99504-2015
(907) 339-9328
(907) 770-6019
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
100593
AK
Other
Enumeration date
07/19/2007
Last updated
07/03/2008
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