Aspire Assisted Living Home LLC
Community Based Residential Treatment Facility, Mental Illness in Anchorage, AK. Organization (NPI-2).
NPI number1588411995
StatusActive
Last updated in NPPESMay 2, 2024
Details
- NPI
- 1588411995
- Entity type
- Organization (NPI-2)
- Legal business name
- Aspire Assisted Living Home LLC
- Organization subpart
- No
- Enumeration date
- May 2, 2024
- Certification date
- May 2, 2024
- Last updated
- May 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – |
Practice location
8660 Pioneer DrAnchorage, AK 99504-4216
Phone 907-231-0188
Mailing address
4306 Needle CirAnchorage, AK 99508-5140
Phone 907-306-5671
Authorized official
Wynn Pentecostes
Administrator
9072310188
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