Organization
SUSITNA GARDENS ALH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECA LEE JACKSON (ADMINISTRATOR)
(907) 743-2986
Entity
Organization
Contact information
Practice address
7451 TYONE CT, ANCHORAGE, AK 99504-3531
(907) 743-2986
(907) 743-2986
Mailing address
7451 TYONE CT, ANCHORAGE, AK 99504-3531
(907) 743-2986
(907) 743-2986
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/07/2020
Last updated
11/07/2020
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