Heritage Assisted Living Home,llc

NPI 1073852638 - Assisted Living Facility - 310400000X

NPI Details
NPI 1073852638
Enumeration Date 02/01/2013
Last Updated 02/01/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MOLLY JOANNA MOLLY
Position ADMINISTATOR/OWNER
Phone (907) 223-1100
Fax (907) 222-2439
Practice Location
6754 OBRIEN ST
ANCHORAGE AK, 99507-2184, US
Phone (907) 223-1100
Fax (907) 222-2439
Business Location
PO BOX 231253
ANCHORAGE AK, 99523-1253, US
Phone (907) 223-1100
Fax (907) 222-2439
Toxanomy
Taxonomy Code 310400000X
License State Alaska
License Number 969461
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According to our database, Heritage Assisted Living Home,llc NPI is 1073852638, taxonomy code is 310400000X and license number is 969461, license state is located at Alaska. Heritage Assisted Living Home,llc physically located at 6754 Obrien St, Anchorage AK, 99507-2184. NPI Number 1033115704 has the healthcare provider type.

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1073852638 NPI number is provided on an as is basis without warranty of any kind. 1073852638 is maintained by the National Plan & Provider Enumeration System. The contents of Heritage Assisted Living Home,llc are for informational purposes only.