Organization
ARCTIC HAVEN ALH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYLA GRACIA C GATPANDAN (PRESIDENT-ADMINISTRATOR)
(907) 258-0197
Entity
Organization
Contact information
Practice address
3300 E 15TH AVE, ANCHORAGE, AK 99508-3005
(907) 258-0197
Mailing address
3300 E 15TH AVE, ANCHORAGE, AK 99508-3005
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
735447
AK
385H00000X
Respite Care
735447
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC85611
—
AK
05
—
HC85612
—
AK
05
—
HC85613
—
AK
05
—
RL85611
—
AK
05
—
RL85612
—
AK
05
—
RL85613
—
AK
Enumeration date
07/09/2009
Last updated
07/09/2009
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