Organization
ABC ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN MARIE ALLEN (ADMINISTRATOR)
(907) 373-5512
Entity
Organization
Contact information
Practice address
7481 SO TERRITORIAL DR, WASILLA, AK 99654-7481
(907) 373-5512
(907) 631-3208
Mailing address
PO BOX 877531, WASILLA, AK 99687-7531
(907) 373-5512
(907) 631-3208
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100430
AK
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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