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ANCHORAGE MANOR 1
>> Assisted Living Facility >> Nursing & Custodial Care FacilitiesRegistrant NPI Number: 1831411230
Organizational Registrant:Organization Name: ANCHORAGE MANOR 1
Organization is not Subpart
Authorized Official: JUDITH CELARIO ADMINISTRATOR 907--35-04080
Organization is not Subpart
Authorized Official: JUDITH CELARIO ADMINISTRATOR 907--35-04080
Location and contact information for practice:
2121 E 73RD AVE ANCHORAGE, AK 99507-2713 US
Tel: 907-334-9986 Fax: 907-334-0905
Tel: 907-334-9986 Fax: 907-334-0905
Contact information for business:
3109 W 62ND AVE ANCHORAGE, AK 99502-2102 US
Tel: 907-350-4080 Fax: 907-334-0905
Tel: 907-350-4080 Fax: 907-334-0905
Registration Information:
NPI: 1831411230
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
