Organization
ROCKINGHAM ASSISTED LIVING LLC
Active
Other names
Rockingham Assisted Living II
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT POTTER LPN (ADMINISTRATOR)
(907) 351-7013
Entity
Organization
Contact information
Practice address
2591 LYVONA LN, ANCHORAGE, AK 99502-5452
(907) 222-1270
(907) 222-3965
Mailing address
PO BOX 92375, ANCHORAGE, AK 99509-2375
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL9745
—
AK
Enumeration date
02/04/2010
Last updated
02/04/2010
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