Organization
RIVERSIDE ASSISTED LIVING SOLDOTNA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY CASTAGNETO (EXECUTIVE DIRECTOR)
(907) 398-5513
Entity
Organization
Contact information
Practice address
390 LOVERS LN, SOLDOTNA, AK 99669-7946
(907) 398-5513
Mailing address
390 LOVERS LN, SOLDOTNA, AK 99669-7946
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101025
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HCX
—
AK
05
—
RLX
—
AK
Enumeration date
09/10/2013
Last updated
09/10/2013
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