Organization
FITCHETT'S ASSISTED LIVING HOME LLC
Active
Other names
Fitchett's Assisted Living Home LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KEVIN FITCHETT (ADMINISTRATOR)
(907) 242-9698
Entity
Organization
Contact information
Practice address
8481 RIDGEWAY AVE, ANCHORAGE, AK 99504-4196
(907) 242-9698
Mailing address
8481 RIDGEWAY AVE, ANCHORAGE, AK 99504-4196
(907) 242-9698
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1063205
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AK
Enumeration date
02/18/2018
Last updated
02/18/2018
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