Avelina Assisted Living Home

NPI 1003032327 - Assisted Living Facility - 310400000X

NPI Details
NPI 1003032327
Enumeration Date 04/17/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name VIDA VIDA
Position ADMINISTRATOR
Phone (907) 333-6649
Fax (907) 375-0950
Practice Location
242 PARK ST
ANCHORAGE AK, 99508-2249, US
Phone (907) 333-6649
Fax (907) 375-0950
Business Location
285 FLOWER ST
ANCHORAGE AK, 99508-2140, US
Phone (907) 333-6649
Fax (907) 375-0950
Toxanomy
Taxonomy Code 310400000X
License State Alaska
License Number 000265
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According to our database, Avelina Assisted Living Home NPI is 1003032327, taxonomy code is 310400000X and license number is 000265, license state is located at Alaska. Avelina Assisted Living Home physically located at 242 Park St, Anchorage AK, 99508-2249. NPI Number 1033115704 has the healthcare provider type.

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1003032327 NPI number is provided on an as is basis without warranty of any kind. 1003032327 is maintained by the National Plan & Provider Enumeration System. The contents of Avelina Assisted Living Home are for informational purposes only.