Organization · NPI-2

168, LLC

Assisted Living Facility · Anchorage, AK

NPI number1700108842
StatusActive
Last updated in NPPESFeb 16, 2010

Details

NPI
1700108842
Entity type
Organization (NPI-2)
Legal business name
168, LLC
Organization subpart
No
Enumeration date
Feb 16, 2010
Last updated
Feb 16, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility100806AKYes

Other names

  • 168 Senior Assistance And Assisted Living Home (Doing Business As)

Practice location

1736 W 11th Ave
Anchorage, AK 99501-4206

Phone 907-980-8168 · Fax 907-338-8168

Mailing address

2965 Wendys Way
Anchorage, AK 99517-1400

Phone 907-980-8168 · Fax 907-338-8168

Authorized official

Rodalyn P Patrimonio-Raval
Adminisitrator
9079808168

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