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Organization

ALASKA TREE HOUSE LLC

Active
Other names
Tree House View II
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ADELE TARA DAVIS (MEMBER)
(907) 258-8733
Entity
Organization

Contact information

Practice address
1021 TURPIN ST APT 2, ANCHORAGE, AK 99504-1772
(907) 258-8733
(907) 336-8272
Mailing address
1021 TURPIN ST APT 3, ANCHORAGE, AK 99504-1772
(907) 258-8733
(907) 336-8272

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100985
AK
3104A0625X
Assisted Living Facility (Mental Illness)
100985
AK
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
100985
AK

Other

Enumeration date
12/09/2012
Last updated
12/09/2012
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