Lilley Lodge 1, LLC
Assisted Living Facility in North Pole, AK. Organization (NPI-2).
NPI number1013237635
StatusActive
Last updated in NPPESJun 4, 2010
Details
- NPI
- 1013237635
- Entity type
- Organization (NPI-2)
- Legal business name
- Lilley Lodge 1, LLC
- Organization subpart
- No
- Enumeration date
- Jun 4, 2010
- Last updated
- Jun 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 100797 | AK | Yes |
Practice location
2330 Old Richardson HwyNorth Pole, AK 99705-6017
Phone 907-347-1489 · Fax 907-490-0322
Mailing address
Po Box 56709North Pole, AK 99705-1709
Phone 907-347-1489 · Fax 907-490-0322
Authorized official
Terryann Gainer
Administrator Owner
9073471489
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