Organization
ROCKING YEARS ASSISTED LIVING II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN POWELL (ADMINISTRATOR)
(907) 374-5816
Entity
Organization
Contact information
Practice address
3291 JEFFERSON DR, FAIRBANKS, AK 99709-5037
(907) 374-5816
Mailing address
1913 JACK ST, FAIRBANKS, AK 99709-4111
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100576
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IN PROCESS
—
AK
Enumeration date
04/24/2007
Last updated
08/22/2020
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