Organization
JACINTA'S ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILAGROS VINA JENNINGS (DESIGNEE)
(907) 868-1795
Entity
Organization
Contact information
Practice address
310 ELLEN CIR, ANCHORAGE, AK 99515-3388
(907) 868-1795
Mailing address
310 ELLEN CIR, ANCHORAGE, AK 99515-3388
(907) 868-1795
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100527
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310400000X
RESIDENTIAL SUPPORTED LIVING ARRANGEMENTS
AK
Enumeration date
08/19/2008
Last updated
08/19/2008
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