Organization
NIGHTINGALE ASSISTED LIVING HOME LLC
Active
Organization
NIGHTINGALE ASSISTED LIVING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYLA M SCULLEY (ADMINISTRATOR)
(907) 644-8046
Entity
Organization
Contact information
Practice address
1572 N HEATHER MEADOWS LOOP, ANCHORAGE, AK 99507-3866
(907) 644-8046
Mailing address
1503 N HEATHER MEADOWS LOOP, ANCHORAGE, AK 99507-3866
(907) 644-8046
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100598
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL4087
—
AK
Enumeration date
06/21/2007
Last updated
11/18/2008
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