Organization
NORTHSTAR ASSISTED LIVING
Active
Other names
Michael's Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALLEN HERVEY (PRESIDENT, GENERAL MANAGER, CEO)
(907) 357-2012
Entity
Organization
Contact information
Practice address
1950 HEMMER RD, PALMER, AK 99645
(907) 745-2169
(907) 746-2016
Mailing address
PO BOX 872889, WASILLA, AK 99687-2889
(907) 357-2012
(907) 357-0707
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC 1950
—
AK
05
—
RL1950
—
AK
Enumeration date
03/16/2007
Last updated
08/22/2020
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