Organization
NORTHERN LIGHTS CARE ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEN MARAVILLAS BOMBARDA (ADMINISTRATOR)
(907) 644-7881
Entity
Organization
Contact information
Practice address
3720 GARDNER ST, ANCHORAGE, AK 99508-4954
(907) 646-7881
Mailing address
3720 GARDNER ST, ANCHORAGE, AK 99508-4954
(907) 646-7881
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100587
AK
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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