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Organization

SHEYLA'S PLACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHEYLA M ROOK (OWNER)
(907) 258-0755
Entity
Organization

Contact information

Practice address
3724 E 16TH AVE, ANCHORAGE, AK 99508-3043
(907) 258-0755
(907) 258-0755
Mailing address
3724 E 16TH AVE, ANCHORAGE, AK 99508-3043
(907) 258-0755
(907) 258-0755

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100474
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RL1916
PROVIDER ID NUMBER
AK
Enumeration date
03/21/2007
Last updated
06/17/2008
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