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Organization

UR PRECIOUS ASSISTED LIVING HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ESTHER PARILLA JUAN (ADMINISTRATOR)
(907) 770-6268
Entity
Organization

Contact information

Practice address
1925 COLONY PL, ANCHORAGE, AK 99507-5395
(907) 770-6268
(907) 770-1722
Mailing address
1925 COLONY PL, ANCHORAGE, AK 99507-5395
(907) 770-6268
(907) 770-1722

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
100938
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NA
AK
Enumeration date
08/02/2012
Last updated
08/02/2012
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