Organization
FERNRIDGE TLC
Active
Organization
FERNRIDGE TLC
Active
Other names
Bonnie Alman
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE ALMAN (ADMINISTRATOR)
(907) 235-4345
Entity
Organization
Contact information
Practice address
40811 MCLAY ROAD, HOMER, AK 99603
(907) 235-4345
Mailing address
PO BOX 2940, HOMER, AK 99603-2940
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000149
AK
385H00000X
Respite Care
000149
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC4179
—
AK
05
—
RL4179
—
AK
Enumeration date
02/12/2008
Last updated
02/12/2008
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