Organization
COLONY MANOR ASSISTED LIVING HOMES
Active
Other names
Colony Manor Assisted Living Homes
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN DAHL (ADMINISTRATOR)
(907) 373-1880
Entity
Organization
Contact information
Practice address
6801 WESWOOD DR, PALMER, AK 99645
(907) 373-1880
(907) 373-1820
Mailing address
PO BOX 870469, WASILLA, AK 99687
(907) 373-1880
(907) 373-1820
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000196
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL9797
—
AK
Enumeration date
05/22/2007
Last updated
04/21/2010
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