Abra Assisted Living Home
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Anchorage, AK. Organization (NPI-2).
NPI number1063702546
StatusActive
Last updated in NPPESApr 18, 2011
Details
- NPI
- 1063702546
- Entity type
- Organization (NPI-2)
- Legal business name
- Abra Assisted Living Home
- Organization subpart
- No
- Enumeration date
- Apr 18, 2011
- Last updated
- Apr 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 100875 | AK | Yes |
Practice location
1609 Betula CirCir
Anchorage, AK 99507-4126
Phone 907-522-0564 · Fax 907-929-7793
Mailing address
1609 Betula CirccleAnchorage, AK 99507-4126
Phone 907-522-0564 · Fax 907-929-7793
Authorized official
Merlo Isang Llaneza
Owner/Adminitration
9075220564
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