Organization
LET US CARE ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARION GRIFFIN (ADMINISTRATOR)
(907) 452-5624
Entity
Organization
Contact information
Practice address
3405 SANDVIK ST, FAIRBANKS, AK 99709-3904
(907) 452-5624
Mailing address
PO BOX 83966, 3405 SANDVIK STREET, FAIRBANKS, AK 99708-3966
(907) 452-5624
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
303745
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216787
GRANT PROVIDER NUMBER
—
01
—
FY 200612007
DHS & DSDS STATE OF AK
—
05
—
RL 4244
—
AK
Enumeration date
02/28/2007
Last updated
07/25/2008
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