Organization
PARKSIDE ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEE OREBAUGH (ADMINISTRATOR)
(907) 276-0103
Entity
Organization
Contact information
Practice address
309 E 24TH AVE, ANCHORAGE, AK 99503-2105
(907) 276-0103
Mailing address
PO BOX 242423, ANCHORAGE, AK 99524-2423
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
112
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC3924
—
AK
05
—
HC4132
—
AK
Enumeration date
04/30/2007
Last updated
08/22/2020
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