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HOLY FAMILY ASSISTED LIVING HOME III
>> Assisted Living Facility >> Nursing & Custodial Care FacilitiesRegistrant NPI Number: 1679792469
Organizational Registrant:Organization Name: HOLY FAMILY ASSISTED LIVING HOME III
Organization is not Subpart
Authorized Official: CAROL TORRES VALDEZ ADMINISTRATOR 907--33-87570
Organization is not Subpart
Authorized Official: CAROL TORRES VALDEZ ADMINISTRATOR 907--33-87570
Location and contact information for practice:
2030 DUKE DR ANCHORAGE, AK 99508-4552 US
Tel: 907-338-7570 Fax: 907-222-6590
Tel: 907-338-7570 Fax: 907-222-6590
Contact information for business:
8600 WITHERSPOON CIR ANCHORAGE, AK 99504-4227 US
Tel: 907-338-7570 Fax: 907-222-6590
Tel: 907-338-7570 Fax: 907-222-6590
Registration Information:
NPI: 1679792469
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | AK | 000187 |
| X | 347C00000X | Transportation Services Private Vehicle | AK | 6386241 |
| X | 385H00000X | Respite Care Facility Respite Care | AK | HC1397 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| HC1397 | AK | 05 | |
| RL8472 | AK | 05 |
