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FORGET ME NOT ASSISTED LIVING HOME, INC.
>> Assisted Living Facility >> Nursing & Custodial Care FacilitiesRegistrant 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
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: --
Tel: 907-336-9220 Fax: --
Contact information for business:
9220 APHRODITE DR ANCHORAGE, AK 99515-1498 US
Tel: 907-336-9220 Fax: --
Tel: 907-336-9220 Fax: --
Registration Information:
NPI: 1306047238
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | AK | 000266 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RL4284 | AK | 05 |
