Organization
3707 OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SCOTT HIETT (PRESIDENT)
(907) 244-9504
Entity
Organization
Contact information
Practice address
3707 OREGON DR, ANCHORAGE, AK 99517-2638
(907) 244-9504
Mailing address
19412 1ST ST, EAGLE RIVER, AK 99577-7103
(907) 244-9504
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
101032
AL
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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