Organization
168, LLC
Active
Organization
168, LLC
Active
Other names
168 Senior Assistance and Assisted Living Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RODALYN P PATRIMONIO-RAVAL (ADMINISITRATOR)
(907) 980-8168
Entity
Organization
Contact information
Practice address
1736 W 11TH AVE, ANCHORAGE, AK 99501-4206
(907) 980-8168
(907) 338-8168
Mailing address
2965 WENDYS WAY, ANCHORAGE, AK 99517-1400
(907) 980-8168
(907) 338-8168
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100806
AK
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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