Organization
SOUTHERN BELLE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDIS DENISE BISHOP (CEO)
(907) 336-5427
Entity
Organization
Contact information
Practice address
6441 COACH CIR, ANCHORAGE, AK 99507-2367
(907) 336-5427
Mailing address
6441 COACH CIR, ANCHORAGE, AK 99507-2367
(907) 336-5427
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
435357
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL09773
—
AK
Enumeration date
04/07/2007
Last updated
08/22/2020
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