Organization
JOSE PENTECOSTES
Active
Other names
House of Gold ALH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE PENTECOSTES (OWNER)
(858) 603-1527
Entity
Organization
Contact information
Practice address
4840 LEAH CT, ANCHORAGE, AK 99508-3787
(907) 868-3775
Mailing address
4840 LEAH CT, ANCHORAGE, AK 99508-3787
(907) 868-3775
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1029943
AK
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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