Organization · NPI-2
3707 Oregon LLC
Assisted Living Facility, Assisted Living, Mental Illness · Anchorage, AK
NPI number1689095580
StatusActive
Last updated in NPPESDec 18, 2013
Details
- NPI
- 1689095580
- Entity type
- Organization (NPI-2)
- Legal business name
- 3707 Oregon LLC
- Organization subpart
- No
- Enumeration date
- Dec 18, 2013
- Last updated
- Dec 18, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | 101032 | AL | Yes |
Practice location
3707 Oregon DrAnchorage, AK 99517-2638
Phone 907-244-9504
Mailing address
19412 1st StEagle River, AK 99577-7103
Phone 907-244-9504
Authorized official
Jeffrey Scott Hiett
President
9072449504
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