Organization
GUIDING LIGHT ASSISTANT LIVING HOME
Active
Parent organization
GUIDING LIGHT ASSISTANT LIVING HOME LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUIDING LIGHT ASSISTANT LIVING HOME LLC
Authorized official
MRS. YOLANDA JACKSON R.N. (ADMINISTRATOR/OWNER)
(907) 227-6892
Entity
Organization
Contact information
Practice address
11522 AURORA ST, EAGLE RIVER, AK 99577-7846
(907) 227-6892
(907) 726-2902
Mailing address
11522 AURORA ST, EAGLE RIVER, AK 99577-7846
(907) 227-6892
(907) 726-2902
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100652
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG 176
—
AK
Enumeration date
02/21/2008
Last updated
08/13/2008
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