Organization
HOUSE OF SHALOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GRACE E GRAHAM (OWNER)
(907) 222-4868
Entity
Organization
Contact information
Practice address
2608 FRIGATE CIR, 2608 FRIGATE CIR, ANCHORAGE, AK 99515-2569
(907) 222-4868
Mailing address
2608 FRIGATE CIR, 2608 FRIGATE CIR, ANCHORAGE, AK 99515-2569
(907) 222-4868
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10051
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL2318
—
AK
Enumeration date
02/28/2007
Last updated
08/22/2020
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