GLORIOUS LIFE ALH LLC NPI 1043559701

NPI Information

NPI: 1043559701
Provider Name: GLORIOUS LIFE ALH LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
16641 MARCUS ST
EAGLE RIVER, AK
ZIP 99577
Phone: (907) 622-4127
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GLORIOUS LIFE ALH LLC is an assisted living facility in Eagle River, 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. GLORIOUS LIFE ALH LLC NPI is 1043559701. The provider is registered as an organization entity type.

The provider's business location address is:

16641 MARCUS ST
EAGLE RIVER, AK
ZIP 99577-677
Phone: (907) 622-4127
Fax: (907) 622-4128

The provider's authorized official is Rosalinda A. Cruse .
The authorized official title is Owner and has the following contact phone number (907) 622-4127.

The enumeration date for this NPI number is 1/31/2013 and was last updated on 1/31/2013.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		100438	ALASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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