Organization
J.C FAITH OPEN ARMS #3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOYCE LAVETTE MEWBORN (OWNER)
(907) 602-0818
Entity
Organization
Contact information
Practice address
8301 E 11TH CT UNIT 2, ANCHORAGE, AK 99504-2210
(907) 602-0818
Mailing address
2517 W 67TH AVE, ANCHORAGE, AK 99502-2216
(907) 602-0818
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
6412530
AK
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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