Organization
ARCTIC HAVEN ALH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYLA GRACIA CAYABYAB GATPANDAN (PRES-ADMINISTRATOR)
(907) 240-7519
Entity
Organization
Contact information
Practice address
1504 ROSEMARY ST, ANCHORAGE, AK 99508-3019
(907) 272-1221
Mailing address
1504 ROSEMARY ST, ANCHORAGE, AK 99508-3019
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
936587
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL85613
—
AK
Enumeration date
04/23/2010
Last updated
04/23/2010
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