Organization
HERITAGE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLYN MEDCOFF (ADMINISTRATOR)
(907) 952-2184
Entity
Organization
Contact information
Practice address
6730 OBRIEN ST, ANCHORAGE, AK 99507-2184
(907) 868-1887
Mailing address
PO BOX 231253, ANCHORAGE, AK 99523-1253
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101116
AK
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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