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Organization

DIANE MARIE BOYER

Active
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Organization

DIANE MARIE BOYER

Active
Other names
Golden Pond Assisted Home Living
Organization subpart
No

Provider details

NPI number
Authorized official
MISS DIANE MARIE BOYER (ADMINISTRATOR)
(907) 892-0794
Entity
Organization

Contact information

Practice address
11269 WEST WASEY WAY, HOUSTON, AK 99694
(907) 892-0794
(907) 892-0795
Mailing address
PO BOX 520983, BIG LAKE, AK 99652
(907) 892-0794
(907) 892-0795

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
739433
AK
310400000X
Assisted Living Facility
Primary
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RL2365
AK
Enumeration date
07/16/2007
Last updated
08/06/2008
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