Organization
IMMACULATE CONCEPCION HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCE BELMONTE CUANAN R.N. (MANAGER)
(907) 522-5671
Entity
Organization
Contact information
Practice address
7110 MIRANDA DR, ANCHORAGE, AK 99507-5106
(907) 522-5671
(907) 868-3937
Mailing address
7110 MIRANDA DR, ANCHORAGE, AK 99507-5106
(907) 522-5671
(907) 868-3937
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000005
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL9696
—
AK
05
—
RL96961
—
AK
Enumeration date
03/14/2007
Last updated
08/22/2020
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