Divine Haven Assisted Living Home

NPI 1043348881 - Assisted Living Facility - 310400000X

NPI Details
NPI 1043348881
Enumeration Date 03/02/2007
Last Updated 07/17/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JUDDY M JUDDY
Position ADMINISTRATOR
Phone (907) 317-5080
Fax (907) 334-8057
Practice Location
1961 NORENE ST
ANCHORAGE AK, 99508-3447, US
Phone (907) 317-5080
Fax (907) 334-8057
Business Location
1509 N HEATHER MEADOWS LOOP
ANCHORAGE AK, 99507-3866, US
Phone (907) 317-5080
Fax (907) 334-8057
Toxanomy
Taxonomy Code 310400000X
License State Alaska
License Number 100475
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According to our database, Divine Haven Assisted Living Home NPI is 1043348881, taxonomy code is 310400000X and license number is 100475, license state is located at Alaska. Divine Haven Assisted Living Home physically located at 1961 Norene St, Anchorage AK, 99508-3447. NPI Number 1033115704 has the healthcare provider type.

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1043348881 NPI number is provided on an as is basis without warranty of any kind. 1043348881 is maintained by the National Plan & Provider Enumeration System. The contents of Divine Haven Assisted Living Home are for informational purposes only.