Organization
EMMANEL ASSISTED LIVING HOME WEST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIA CRISTINA CASTRO (ADMINISTRATOR)
(907) 750-6785
Entity
Organization
Contact information
Practice address
70 STEELHEAD RD, FAIRBANKS, AK 99709-3035
(907) 750-6785
(877) 620-9084
Mailing address
70 STEELHEAD RD, FAIRBANKS, AK 99709-3035
(907) 750-6785
(877) 620-9084
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101292
DEP HOME HEALTH AND SOCIAL SERVICES AK
AK
Enumeration date
11/29/2022
Last updated
03/12/2024
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