Organization
KIWI ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY BOLLOZOS FRANCISCO (ADMINISTRATOR)
(907) 227-5573
Entity
Organization
Contact information
Practice address
1800 NORTHWESTERN AVE., ANCHORAGE, AK 99508-4429
(907) 227-5573
Mailing address
1800 NORTHWESTERN AVE, ANCHORAGE, AK 99508-4429
(907) 227-5573
(907) 274-2752
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
310400000X
AK
Other
Enumeration date
04/09/2007
Last updated
06/16/2008
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