Organization
DIVINE HOPE ASSISTED LIVING HOME. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN BASIL (EMPLOYEE)
(858) 506-0359
Entity
Organization
Contact information
Practice address
5503 SAPPHIRE LOOP, ANCHORAGE, AK 99504
(858) 506-0359
Mailing address
5503 SAPPHIRE LOOP, ANCHORAGE, AK 99504-6000
(850) 603-5933
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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