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Individual

NELSON H ANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CHT

Contact information

Practice address
5225 E 22ND AVE # B, ANCHORAGE, AK 99508-3705
(907) 720-9914
(907) 332-1122
Mailing address
5225 E 22ND AVE # B, ANCHORAGE, AK 99508-3705
(907) 720-9914
(907) 332-1122

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100672
ASSISTED LIVING HOME LICENSE
AK
01
908091
ALASKA BUSINESS LICENSE
AK
Enumeration date
02/21/2013
Last updated
02/22/2013
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