Organization
LOVING HOME CARE, LLC
Active
Other names
Campbell Creek House
Organization subpart
No
Provider details
NPI number
Authorized official
KYONG H LEE (PRESIDENT)
(907) 754-9050
Entity
Organization
Contact information
Practice address
4745 PIPER ST, ANCHORAGE, AK 99507-1542
(907) 754-9050
(907) 754-9099
Mailing address
4745 PIPER ST, ANCHORAGE, AK 99507-1542
(907) 754-9050
(907) 754-9099
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101119
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101119
ASSISTED LIVING HOME LICENSE, DIVISION OF HEALTH CARE SERVICES, STATE OF ALASKA
AK
05
—
RLX
—
AK
Enumeration date
11/13/2015
Last updated
11/13/2015
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