Organization
OUR LADY OF FATIMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA PARAJAS NIDOY (RESPONSIBLE MEMBER)
(907) 529-7495
Entity
Organization
Contact information
Practice address
4030 DEFIANCE ST, ANCHORAGE, AK 99504-4368
(907) 529-7495
(907) 644-5624
Mailing address
4030 DEFIANCE ST, ANCHORAGE, AK 99504-4368
(907) 644-5624
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL7080
—
AK
Enumeration date
01/17/2012
Last updated
01/17/2012
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