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Organization

OLYMPUS HOUSE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YOLANDA CAMPOS (ADMINISTRATOR)
(907) 770-2730
Entity
Organization

Contact information

Practice address
1621 DEMETER DRIVE, ANCHORAGE, AK 99515
(907) 770-2730
Mailing address
PO BOX 242381, ANCHORAGE, AK 99524
(907) 770-2730

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
427119
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HL5620
AK
Enumeration date
05/29/2007
Last updated
08/22/2020
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