Organization
AVELINA'S ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIDA LADRIDO (ADMINISTRATOR)
(907) 333-6649
Entity
Organization
Contact information
Practice address
285 FLOWER ST, ANCHORAGE, AK 99508-2140
(907) 333-6649
(907) 375-0950
Mailing address
285 FLOWER ST, ANCHORAGE, AK 99508-2140
(907) 333-6649
(907) 375-0950
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000265
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RL87721
MCI
AK
Enumeration date
04/19/2007
Last updated
08/22/2020
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