Organization
ARK OF EMMANUEL ASSISTING LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY B PENTECOSTES PT (ADMNISTRATOR)
(907) 677-9289
Entity
Organization
Contact information
Practice address
5454 EMMANUEL AVE, ANCHORAGE, AK 99508-4934
(907) 677-9289
(907) 677-9289
Mailing address
5454 EMMANUEL AVE, ANCHORAGE, AK 99508-4934
(907) 677-9289
(907) 677-9289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
908797
AK
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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