Organization
RABE ASSISTED LIVING HOME,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOSEPHINE SELERIANA BALGENORTH (ADMINISTRATOR)
(907) 727-4723
Entity
Organization
Contact information
Practice address
4941 ALPHA CIR, ANCHORAGE, AK 99516-2253
(907) 336-6260
Mailing address
4941 ALPHA CIR, ANCHORAGE, AK 99516-2253
(907) 336-6260
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
100788
AK
310400000X
Assisted Living Facility
Primary
100788
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HCX
—
AK
05
—
RLX
—
AK
Enumeration date
08/10/2010
Last updated
02/28/2012
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