Organization
QUEEN OF HEARTS ASSISTED LIVING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUEENIE CAYABYAB (OWNER/ADMINISTRATOR)
(907) 342-5937
Entity
Organization
Contact information
Practice address
3300 E 15TH AVE, ANCHORAGE, AK 99508-3005
(907) 342-5937
(907) 929-0492
Mailing address
6821 QUEENS VIEW CIR, ANCHORAGE, AK 99504-5203
(907) 342-5937
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101057
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101057
ASSISTED LIVING HOME LICENSE
AK
05
—
1613952
—
AK
01
—
998397
BUSINESS LICENSE
AK
Enumeration date
05/29/2014
Last updated
04/29/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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