Organization
MAKUPA ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IDA M POEPPING TMA/CNA (ADMINISTRATOR/OWNER)
(907) 441-7219
Entity
Organization
Contact information
Practice address
8733 RUNAMARK PLACE, B, ANCHIRAGE, AK 99502
(907) 441-7219
(907) 344-2711
Mailing address
PO BOX 222556, ANCHORAGE, AK 99522-2556
(907) 441-7219
(907) 344-2711
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
100557
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
AK
Enumeration date
07/30/2007
Last updated
07/30/2007
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