Glorious Life Alh Llc

NPI 1043559701 - Assisted Living Facility - 310400000X

NPI Details
NPI 1043559701
Enumeration Date 01/31/2013
Last Updated 01/31/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ROSALINDA A. ROSALINDA
Position OWNER
Phone (907) 622-4127
Fax (907) 622-4128
Practice Location
16641 MARCUS ST
EAGLE RIVER AK, 99577-7677, US
Phone (907) 622-4127
Fax (907) 622-4128
Business Location
16641 MARCUS ST
EAGLE RIVER AK, 99577-7677, US
Phone (907) 622-4127
Fax (907) 622-4128
Toxanomy
Taxonomy Code 310400000X
License State Alaska
License Number 100438
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According to our database, Glorious Life Alh Llc NPI is 1043559701, taxonomy code is 310400000X and license number is 100438, license state is located at Alaska. Glorious Life Alh Llc physically located at 16641 Marcus St, Eagle River AK, 99577-7677. NPI Number 1033115704 has the healthcare provider type.

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1043559701 NPI number is provided on an as is basis without warranty of any kind. 1043559701 is maintained by the National Plan & Provider Enumeration System. The contents of Glorious Life Alh Llc are for informational purposes only.