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Organization

SOUTHERN LIVING ASSISTED LIVING HOME LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY DENISE TROUP PRESIDENT (PRESIDENT)
(907) 345-3416
Entity
Organization

Contact information

Practice address
9639 MUSKET BALL CIR, ANCHORAGE, AK 99507-5389
(907) 345-3416
Mailing address
9639 MUSKETBALL CIR, ANCHORAGE, AK 99507-5389
(907) 345-3416

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AK

Other

Enumeration date
03/11/2010
Last updated
03/11/2010
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