Organization
AUTUMN MORNINGSTAR ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDIS DENISE BISHOP MANANGING MEMBER (ADMINISTRATOR)
(907) 351-0569
Entity
Organization
Contact information
Practice address
16502 BAIRD CIR, EAGLE RIVER, AK 99577-6710
(907) 696-0800
(888) 291-5028
Mailing address
19216 CITATION RD, EAGLE RIVER, AK 99577-8416
(907) 351-0569
(888) 291-5028
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1650643
—
AK
Enumeration date
09/27/2021
Last updated
09/27/2021
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