Organization
ALASKAN RED ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALANNIE VONGXAY (ADMINISTRATOR)
(907) 891-3827
Entity
Organization
Contact information
Practice address
6291 GROSS DR, ANCHORAGE, AK 99507-2059
(907) 891-3827
Mailing address
PO BOX 141782, ANCHORAGE, AK 99514-1782
(907) 891-3827
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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