Organization
OTTER HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA LYNNE STEVENS (ADMINISTRATOR)
(907) 947-1355
Entity
Organization
Contact information
Practice address
1503 OTTER ST, ANCHORAGE, AK 99504-2540
(907) 947-1355
(907) 222-6553
Mailing address
1503 OTTER ST, ANCHORAGE, AK 99504-2540
(907) 947-1355
(907) 222-6553
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100983
AK
Other
Enumeration date
05/26/2018
Last updated
05/26/2018
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