Organization
TLC ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILMA ERIBAL TANNER LPN (ADMINISTRATOR, OWNER)
(907) 441-9595
Entity
Organization
Contact information
Practice address
2401 OAK DR, ANCHORAGE, AK 99508-3267
(907) 278-0308
(907) 278-0408
Mailing address
2401 OAK DR, ANCHORAGE, AK 99508-3267
(907) 278-0308
(907) 278-0408
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
738560
AK
385H00000X
Respite Care
RL5743
AK
Other
Enumeration date
04/10/2007
Last updated
06/21/2018
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