Organization
GRACE OF GOD ASSISTED LIVING HOME LLC
Active
Organization
GRACE OF GOD ASSISTED LIVING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA BALTAZAR CANLAS (ADMINISTRATOR)
(907) 250-9404
Entity
Organization
Contact information
Practice address
1311 W 40TH AVE, ANCHORAGE, AK 99503-6507
(907) 250-9404
(907) 868-1156
Mailing address
7430 MARGARET CIR, ANCHORAGE, AK 99518-2043
(907) 250-9404
(907) 868-1156
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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