GUIDING LIGHT ASSISTANT LIVING HOME NPI 1417126608

NPI Information

GUIDING LIGHT ASSISTANT LIVING HOME 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. GUIDING LIGHT ASSISTANT LIVING HOME NPI is 1417126608. The provider is registered as an organization entity type.

The provider's business location address is:

11522 AURORA ST
EAGLE RIVER, AK
ZIP 99577-846
Phone: (907) 227-6892
Fax: (907) 726-2902

The provider's authorized official is Yolanda Jackson .
The authorized official title is Administrator/owner and has the following contact phone number (907) 227-6892.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 8/13/2008.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.