Organization
HARBOR LIGHTS HOUSE ASSISTED LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE L REED (ADMINISTRATOR)
(907) 262-5355
Entity
Organization
Contact information
Practice address
39355 DUDLEY AVE, SOLDOTNA, AK 99669-8603
(907) 262-5355
Mailing address
39355 DUDLEY AVE, SOLDOTNA, AK 99669-8603
(907) 262-5355
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000249
AK
347C00000X
Private Vehicle
249
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC6259
—
AK
05
—
RL6259
—
AK
Enumeration date
04/17/2007
Last updated
08/31/2009
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