Organization
EVERLAST ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS IRENE MIRANDA (ADMINISTRATOR)
(907) 336-1296
Entity
Organization
Contact information
Practice address
9401 APHRODITE DR, ANCHORAGE, AK 99515-1497
(907) 336-1296
Mailing address
9401 APHRODITE DR, ANCHORAGE, AK 99515-1497
(907) 336-1296
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100586
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL 3873
—
AK
Enumeration date
09/14/2007
Last updated
09/14/2007
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