Organization
POTALA ALH
Active
Organization
POTALA ALH
Active
Other names
Potala ALH, Potala ALH
Organization subpart
No
Provider details
NPI number
Authorized official
TSEWANG CHUKI TSANGWA (ADMINISTRATOR)
(907) 522-2157
Entity
Organization
Contact information
Practice address
2115 MISTYBROOK CIR, ANCHORAGE, AK 99502-4641
(907) 522-2157
Mailing address
2115 MISTYBROOK CIR, ANCHORAGE, AK 99502-4641
(907) 522-2157
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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