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Organization

ELLEN ASSISTED LIVING HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MILAGROS VINA JENNINGS (ADMINISTRATOR)
(907) 868-1795
Entity
Organization

Contact information

Practice address
310 ELLEN CIR, ANCHORAGE, AK 99515-3388
(907) 868-1795
(907) 243-4115
Mailing address
310 ELLEN CIR, ANCHORAGE, AK 99515-3388
(907) 868-1795
(907) 243-4115

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100527
AK

Other

Enumeration date
05/03/2007
Last updated
08/22/2020
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