Organization
ELAINE'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA D HUTCHENS-ETHEREDGE (OWNER)
(907) 677-6375
Entity
Organization
Contact information
Practice address
1025 H ST, ANCHORAGE, AK 99501-3430
(907) 677-6375
(907) 677-6374
Mailing address
1025 H ST, ANCHORAGE, AK 99501-3430
(907) 677-6375
(907) 677-6374
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
100529
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030313
—
AK
Enumeration date
09/20/2011
Last updated
09/10/2014
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