Organization
MAILE ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRESENCIA P SANTOS (ADMINISTRATOR/OWNER)
(907) 222-7541
Entity
Organization
Contact information
Practice address
6920 PECK AVE, ANCHORAGE, AK 99504-1160
(907) 222-7541
(907) 222-7541
Mailing address
6920 PECK AVE, ANCHORAGE, AK 99504-1160
(907) 222-7541
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100808
AK
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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