Organization
A COZY COTTAGE ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KANDACE K SOPER (OWNER/ ADMINISTRATOR)
(907) 903-0575
Entity
Organization
Contact information
Practice address
2812 W 29TH AVE, ANCHORAGE, AK 99517-1701
(907) 245-0521
(907) 245-0621
Mailing address
2812 W 29TH AVE, ANCHORAGE, AK 99517-1701
(907) 245-0521
(907) 245-0621
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100842
AK
Other
Enumeration date
08/07/2010
Last updated
08/07/2010
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