Organization
CHRISTIAN COTTAGE 3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OFELIA ISENIA GUIEL (ADMINISTRATOR)
(907) 250-6089
Entity
Organization
Contact information
Practice address
6400 CHEVIGNY ST, ANCHORAGE, AK 99502-2028
(907) 250-6089
(907) 338-8164
Mailing address
6400 CHEVIGNY ST, ANCHORAGE, AK 99502-2028
(907) 250-6089
(907) 338-8164
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000292
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL23733
—
AK
Enumeration date
04/11/2007
Last updated
08/22/2020
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