ILUMINADA'S ASSISTED LIVING HOME NPI 1588984447

NPI Information

ILUMINADA'S ASSISTED LIVING HOME is a private vehicle in Anchorage, AK. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. ILUMINADA'S ASSISTED LIVING HOME NPI is 1588984447. The provider is registered as an organization entity type.
The provider Other Name Is Iluminada's Assisted Living Home Ii.

The provider's business location address is:

7619 WINCHESTER ST
ANCHORAGE, AK
ZIP 99507-814
Phone: (907) 868-2738
Fax: (907) 868-2738

The provider's authorized official is Iluminada Lingad Ibay .
The authorized official title is Administrator and has the following contact phone number (907) 868-2738.

The enumeration date for this NPI number is 6/2/2010 and was last updated on 6/2/2010.

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:

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