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Organization

ARCTIC HAVEN OF OKLAHOMA ALH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MYLEINEGESELLE SIMPSON BSN,LPN (ADMINISTRATOR)
(907) 229-9457
Entity
Organization

Contact information

Practice address
250 OKLAHOMA ST # 2, ANCHORAGE, AK 99504-1342
(907) 229-9457
Mailing address
250 OKLAHOMA ST # 2, ANCHORAGE, AK 99504-1342
(907) 229-9457

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100564
AK

Other

Enumeration date
02/06/2008
Last updated
02/06/2008
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