Organization
BIG HEARTS ALASKA ALH, LLC
Active
Other names
Big Hearts Alaska ALH
Organization subpart
No
Provider details
NPI number
Authorized official
ANNABELLE FANGONILO (ADMINISTRATOR)
(907) 942-5366
Entity
Organization
Contact information
Practice address
9180 APHRODITE DR, ANCHORAGE, AK 99515-1499
(907) 942-5366
Mailing address
2100 MINERVA WAY UNIT 1A, ANCHORAGE, AK 99515-1474
(907) 942-5366
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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