Organization
HORIZON ASSISTED LIVING OF FAIRBANKS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KILPATRICK (OWNER/DESIGNEE)
(907) 978-2316
Entity
Organization
Contact information
Practice address
821 17TH AVE, APT 122, FAIRBANKS, AK 99701-6150
(907) 978-2316
Mailing address
821 17TH AVE, APT 122, FAIRBANKS, AK 99701-6150
(907) 978-2316
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
101028
AK
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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