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
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