Organization
A FINE PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE M FINE (ADMINISTRATOR)
(907) 841-3463
Entity
Organization
Contact information
Practice address
1414 N PIONEER PEAK DR, WASILLA, AK 99654-5924
(907) 841-3463
Mailing address
1414 N PIONEER PEAK DR, WASILLA, AK 99654-5924
(907) 841-3463
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
101258
AK
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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