Organization
ENRICHMENT CENTER FOR MATURE ADULTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOU XIONG (PROGRAM DIRECTOR)
(907) 561-1083
Entity
Organization
Contact information
Practice address
2207 E TUDOR RD STE 33, ANCHORAGE, AK 99507-1069
(907) 561-1083
(907) 561-1075
Mailing address
2207 E TUDOR RD STE 33, ANCHORAGE, AK 99507-1069
(907) 561-1083
(907) 561-1075
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DSDS
—
AK
Enumeration date
03/10/2017
Last updated
03/10/2017
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