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FORGET ME NOT ASSISTED LIVING HOME, INC.

>> Assisted Living Facility >> Nursing & Custodial Care Facilities

Registrant NPI Number: 1306047238

Organizational Registrant:
Organization Name:  FORGET ME NOT ASSISTED LIVING HOME, INC.
Organization is not Subpart
Authorized Official:  SUSAN V DICKINSON  ADMINISTRATOR  907--33-69220

Location and contact information for practice:
9220 APHRODITE DR  ANCHORAGE, AK 99515-1498 US
Tel: 907-336-9220  Fax: --

Contact information for business:
9220 APHRODITE DR  ANCHORAGE, AK 99515-1498 US
Tel: 907-336-9220  Fax: --

Registration Information:
NPI: 1306047238
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
AK000266

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RL4284AK05




HEALTH CARE JOBS AK - Page 1



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