Organization
DENALI CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS E DAHLEN (VICE PRESIDENT FINANCE)
(602) 495-4000
Entity
Organization
Contact information
Practice address
1510 19TH AVE, FAIRBANKS, AK 99701-5900
(907) 458-5100
(907) 458-5151
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LT0381
—
AK
Enumeration date
06/03/2006
Last updated
01/22/2015
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