Organization
INDEPENDENCE LODGE, LLC
Active
Other names
Independence Lodge, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON URQUHART MSW (ADMINISTRATOR)
(907) 351-5931
Entity
Organization
Contact information
Practice address
6941 STANLEY DR, ANCHORAGE, AK 99518-2163
(907) 351-5931
Mailing address
6941 STANLEY DR, ANCHORAGE, AK 99518-2163
(907) 351-5931
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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