Organization
COPPER RIVER CARE ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIA RAY WEBB RN (ADMINISTRATOR)
(907) 822-4255
Entity
Organization
Contact information
Practice address
3/4 MILE RIDGE ROAD, SALANA, AK 99586
(907) 822-4255
Mailing address
PO BOX 866, 3/4 MILE RIDGE ROAD, SALANA, AK 99586
(907) 822-4255
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
921585
AK
Other
Enumeration date
09/15/2010
Last updated
03/09/2011
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