Organization
SKYLINE ASSISTED LIVING HOME LLC
Active
Parent organization
SKYLINE ASSISTED LIVING HOME LLC
Other names
OTCHECK HOME ALH
Organization subpart
Yes
Provider details
NPI number
Legal business name
SKYLINE ASSISTED LIVING HOME LLC
Authorized official
MR. DALE FRANKLYN OTCHECK (VICE PRESIDENT)
(907) 598-1992
Entity
Organization
Contact information
Practice address
63540 SKYLINE DR, HOMER, AK 99603-9333
(907) 266-2266
(907) 226-2265
Mailing address
63540 SKYLINE DR, HOMER, AK 99603-9333
(907) 266-2266
(907) 226-2265
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1055911
ALASKA BUSINESS LICENSE
AK
01
—
10620
ASSISTED LIVING HOME LICENSE
AK
Enumeration date
09/25/2018
Last updated
09/25/2018
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