Organization
OUR HOME ASSISTED LIVING HOME,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICHELLE RODRIGUEZ PAGTAKHAN (ADMINISTRATOR)
(907) 317-6005
Entity
Organization
Contact information
Practice address
9330 APHRODITE DR, ANCHORAGE, AK 99515-1493
(907) 317-6005
Mailing address
9330 APHRODITE DR, ANCHORAGE, AK 99515-1493
(907) 317-6005
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
942880
AK
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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