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Organization

HERITAGE ASSISTED LIVING HOME 2

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOLLY BATES (ADMINISTRATOR)
(907) 223-1100
Entity
Organization

Contact information

Practice address
4240 CHESS DR, ANCHORAGE, AK 99508-5631
(907) 223-1100
Mailing address
PO BOX 231253, ANCHORAGE, AK 99523-1253
(907) 561-0500
(907) 561-0600

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101075
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RLX
AK
Enumeration date
09/04/2014
Last updated
09/04/2014
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