Organization
MISTY GLEN ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA FULTON (OWNER)
(907) 306-4173
Entity
Organization
Contact information
Practice address
2120 MISTY GLEN CIR, ANCHORAGE, AK 99502-4643
(907) 306-4173
Mailing address
400 W 76TH AVE APT 105, ANCHORAGE, AK 99518-2551
(907) 306-4173
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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