Organization
MY HOME LLC
Active
Other names
My Home ALH
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA CLERC (ADMINISTRATOR)
(907) 250-8044
Entity
Organization
Contact information
Practice address
6865 VIBURNUM DR, ANCHORAGE, AK 99507-2467
(907) 250-8044
Mailing address
7715 PORT ORFORD DR, ANCHORAGE, AK 99507-6019
(907) 250-8044
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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