Organization
ADAMS ALH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN I ADAMS RN (OWNER/ADMINISTRATOR)
(907) 350-5355
Entity
Organization
Contact information
Practice address
1550 E TIERRA GRANDE DR, WASILLA, AK 99654-3529
(907) 350-5355
(907) 631-3574
Mailing address
1550 E TIERRA GRANDE DR, WASILLA, AK 99654-3529
(907) 350-5355
(907) 631-3574
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100895
AK
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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