Organization
ABBA ASSISTED LIVING HOME, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADITH METUCUA LLOREN-PARIS (DESIGNEE)
(907) 519-5067
Entity
Organization
Contact information
Practice address
1616 PARKWAY DR, ANCHORAGE, AK 99504-2834
(907) 519-5067
Mailing address
1616 PARKWAY DR, ANCHORAGE, AK 99504-2834
(907) 519-5067
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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