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LYDIA GUERRERO

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

Registrant NPI Number: 1194945816

Individual Registrant:
 LYDIA  GUERRERO 
Gender: F
Sole Proprietor

Location and contact information for practice:
18242 TONSINA CT  EAGLE RIVER, AK 99577 US
Tel: 907-694-7555  Fax: 907-694-7555

Contact information for business:
18242 TONSINA CT  EAGLE RIVER, AK 99577 US
Tel: 907-694-7555  Fax: 907-694-7555

Registration Information:
NPI: 1194945816
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
AK000106

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0600897749AK05




HEALTH CARE JOBS AK - Page 1



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