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Organization

SAINT TIMOTHY HOME LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. IRENE CERVAS ESCALANTE (SOLE MEMBER)
(907) 337-6364
Entity
Organization

Contact information

Practice address
12363 DIVISION ST, ANCHORAGE, AK 99515-3436
(907) 337-6364
(907) 338-6365
Mailing address
12363 DIVISION ST, ANCHORAGE, AK 99515-3436
(907) 337-6364

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
982270
AK

Other

Enumeration date
02/08/2013
Last updated
02/08/2013
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