Organization
ELENA'S PLACE I CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO D. REGACHO (REPRESENTATIVE)
(907) 830-8706
Entity
Organization
Contact information
Practice address
8551 ARCTIC BLVD, ANCHORAGE, AK 99515-1708
(907) 830-8706
(907) 336-9090
Mailing address
8551 ARCTIC BLVD, ANCHORAGE, AK 99515-1708
(907) 830-8706
(907) 336-9090
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
08/07/2007
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