Organization
UBA ALH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIKU MOHAMMED (ADMINISTRATOR)
(907) 717-4757
Entity
Organization
Contact information
Practice address
6730 E 10TH AVE, ANCHORAGE, AK 99504-1814
(907) 717-4757
Mailing address
6730 E 10TH AVE, ANCHORAGE, AK 99504-1814
(907) 717-4757
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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