Organization
MERCEDES ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHILAMEFRIDA VILLADORES AGCAOILI (OWNER/ADMINISTRATOR)
(907) 764-9958
Entity
Organization
Contact information
Practice address
1815 LAURA CIR, ANCHORAGE, AK 99508-3516
(907) 569-5686
(907) 569-5687
Mailing address
1815 LAURA CIR, ANCHORAGE, AK 99508-3516
(907) 569-5686
(907) 569-5687
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100787
AK
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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