MAIN STREET ASSISTED LIVING INC. NPI 1023134178

NPI Information

MAIN STREET ASSISTED LIVING, INC. is an assisted living facility in Homer, AK. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MAIN STREET ASSISTED LIVING, INC. NPI is 1023134178. The provider is registered as an organization entity type.

The provider's business location address is:

4136 MAIN ST
HOMER, AK
ZIP 99603-035
Phone: (907) 235-6149
Fax: (907) 235-6149

The provider's authorized official is Ruth E Babcock .
The authorized official title is Administrator and has the following contact phone number (907) 235-6149.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 4/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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