Organization
AURORA BOREALIS HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAKOV YUSHUVAYEV (MEMBER)
(917) 864-3328
Entity
Organization
Contact information
Practice address
4900 E PALMER WASILLA HWY STE 4, WASILLA, AK 99654-7752
(907) 376-6930
(907) 357-6903
Mailing address
4900 E PALMER WASILLA HWY STE 4, WASILLA, AK 99654-7752
(907) 376-6930
(907) 357-6903
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
1038868
AK
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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