Organization
ALASKAN RUBY ALH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA MAYAO RAFAEL PCA (ADMINISTRATOR)
(907) 350-7781
Entity
Organization
Contact information
Practice address
1130 CONTRARY CT, ANCHORAGE, AK 99515-2108
(907) 350-7781
(907) 339-9403
Mailing address
1130 CONTRARY CT, ANCHORAGE, AK 99515-2108
(907) 350-7781
(907) 339-9403
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
917763
AK
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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