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Jewel Lake Assisted Living Home LLC

Nursing Home Administrator in Anchorage, AK. Organization (NPI-2).

NPI number1972472017
StatusActive
Last updated in NPPESNov 4, 2025

Details

NPI
1972472017
Entity type
Organization (NPI-2)
Legal business name
Jewel Lake Assisted Living Home LLC
Organization subpart
No
Enumeration date
Nov 4, 2025
Certification date
Nov 4, 2025
Last updated
Nov 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376G00000X Nursing Home Administrator––Yes

Practice location

4132 W 88th Ave
Anchorage, AK 99502-5107

Phone 907-250-4732 · Fax 907-245-0035

Mailing address

4132 W 88th Ave
Anchorage, AK 99502-5107

Phone 907-250-4732 · Fax 907-245-0035

Authorized official

Emelyn Young
Administrator
9072504732

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