Organization
INDEPENDENCE PARK ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J MARTINEZ (ADMINISTRATOR/OWNER)
(907) 350-2295
Entity
Organization
Contact information
Practice address
9618 NEWHAVEN LOOP, ANCHORAGE, AK 99507-4426
(907) 350-2295
Mailing address
9618 NEWHAVEN LOOP, ANCHORAGE, AK 99507-4426
(907) 350-2295
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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