Organization
GOLDEN AGE'S MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL ARTHUR PELPHREY (SUPERVISOR)
(907) 885-8002
Entity
Organization
Contact information
Practice address
309 E 24TH AVE, ANCHORAGE, AK 99503-2105
(907) 885-8002
Mailing address
PO BOX 240983, ANCHORAGE, AK 99524-0983
(907) 885-8002
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1042640
AK
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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