Organization
ESSENTIAL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELODY LYNN VAHL R.N. (HOME ADMINISTRATOR)
(907) 947-5491
Entity
Organization
Contact information
Practice address
344 LYNNWOOD DR, UNIT A, ANCHORAGE, AK 99518-1850
(907) 947-5491
(907) 562-2242
Mailing address
344 LYNNWOOD DRIVE, UNIT A, ANCHORAGE, AK 99518-1850
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100811
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376G00000X
—
AK
Enumeration date
05/26/2010
Last updated
05/26/2010
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