Horizon Assisted Living Of Fairbanks Llc.

NPI 1477976561 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1477976561
Enumeration Date 01/27/2014
Last Updated 01/27/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BRIAN BRIAN
Position OWNER/DESIGNEE
Phone (907) 978-2316
Fax
Practice Location
821 17TH AVE
APT 122
FAIRBANKS AK, 99701-6150, US
Phone (907) 978-2316
Fax
Business Location
821 17TH AVE
APT 122
FAIRBANKS AK, 99701-6150, US
Phone (907) 978-2316
Fax
Toxanomy
Taxonomy Code 320900000X
License State Alaska
License Number 101028
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According to our database, Horizon Assisted Living Of Fairbanks Llc. NPI is 1477976561, taxonomy code is 320900000X and license number is 101028, license state is located at Alaska. Horizon Assisted Living Of Fairbanks Llc. physically located at 821 17th Ave, Fairbanks AK, 99701-6150. NPI Number 1033115704 has the healthcare provider type.

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1477976561 NPI number is provided on an as is basis without warranty of any kind. 1477976561 is maintained by the National Plan & Provider Enumeration System. The contents of Horizon Assisted Living Of Fairbanks Llc. are for informational purposes only.