Organization
NORTHERN LIGHTS ASSISTED LIVING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONISIO PENTECOSTES (OWNER)
(808) 206-2965
Entity
Organization
Contact information
Practice address
1640 VASHON CIR, ANCHORAGE, AK 99515-3145
(907) 350-7238
Mailing address
1640 VASHON CIR, ANCHORAGE, AK 99515-3145
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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