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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