Organization
MY DAUGHTER AND ME ASSISTED LIVING HOME, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY LOUISE LUNDY LPN (PRESIDENT/ADMINISTRATOR)
(907) 830-3055
Entity
Organization
Contact information
Practice address
3408 N STAR ST, ANCHORAGE, AK 99503-4539
(907) 830-3055
(907) 770-7903
Mailing address
3408 N STAR ST, ANCHORAGE, AK 99503-4539
(907) 830-3055
(907) 770-7903
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
233
AK
385H00000X
Respite Care
Primary
233
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347C0000X
—
AK
05
—
385H0000X
—
AK
Enumeration date
11/27/2009
Last updated
11/27/2009
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