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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