Organization
OPUS MEMORIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE HICKEL CSA (ADMINISTRATOR)
(907) 868-1919
Entity
Organization
Contact information
Practice address
4880 CHUCK DR, ANCHORAGE, AK 99507-1475
(907) 868-1919
(877) 310-8771
Mailing address
PO BOX 220813, ANCHORAGE, AK 99522-0813
(907) 868-1919
(877) 310-8771
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101166
AK
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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