Organization
HOME AWAY FROM HOME ANCHORAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUITA WHISNANT (OWNER)
(907) 331-7954
Entity
Organization
Contact information
Practice address
639 E 76TH AVE # 2, ANCHORAGE, AK 99518-2847
(907) 331-7954
Mailing address
639 E 76TH AVE # 2, ANCHORAGE, AK 99518-2847
(907) 331-7954
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/12/2025
Last updated
07/24/2025
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