Organization
ST THOMAS ASSISTED LIVING HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLEDZ LERIOS LASTIMOSO (OWNER)
(907) 868-3115
Entity
Organization
Contact information
Practice address
6885 TOWN AND COUNTRY PL, ANCHORAGE, AK 99502-2845
(907) 868-3115
(907) 865-3255
Mailing address
6885 TOWN AND COUNTRY PL, ANCHORAGE, AK 99502-2845
(907) 868-3115
(907) 865-3255
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100720
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL5298/RL52981
—
AK
Enumeration date
05/22/2013
Last updated
05/22/2013
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