Organization
STANNEALH INC. 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUISA ESTRELLA BURKE (ADMINISTRATOR)
(907) 336-4010
Entity
Organization
Contact information
Practice address
7452 NATHAN DR, ANCHORAGE, AK 99518-2864
(907) 339-2338
Mailing address
9140 SHADY BAY CIR, ANCHORAGE, AK 99507-4917
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
000215
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL12714
—
AK
Enumeration date
04/24/2007
Last updated
08/22/2020
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