Organization
NORTHERN LIGHTS ALH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKS N/A PROST (ADMINISTRATOR)
(907) 277-0378
Entity
Organization
Contact information
Practice address
1640 VASHON CIR, ANCHORAGE, AK 99515-3145
(907) 277-0378
Mailing address
1640 VASHON CIR, ANCHORAGE, AK 99515-3145
(907) 277-0378
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL 4643
—
AK
Enumeration date
04/11/2007
Last updated
05/26/2008
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