Organization
FORGET ME NOT CARE HOME
Active
Organization
FORGET ME NOT CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A MILLER (ADMINISTRATOR)
(208) 713-4603
Entity
Organization
Contact information
Practice address
4519 W AMANDA DR, WASILLA, AK 99623-1046
(208) 713-4603
Mailing address
PO BOX 871282, WASILLA, AK 99687-1282
(208) 713-4603
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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