SUE'S SOURDOUGH ASSISTED LIVING NPI 1023233533

NPI Information

NPI: 1023233533
Provider Name: SUE'S SOURDOUGH ASSISTED LIVING
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
14650 PARK HILLS DR
ANCHORAGE, AK
ZIP 99516
Phone: (907) 345-1854
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SUE'S SOURDOUGH ASSISTED LIVING is a respite care in Anchorage, AK. The provider is definition to come. SUE'S SOURDOUGH ASSISTED LIVING NPI is 1023233533. The provider is registered as an organization entity type.

The provider's business location address is:

14650 PARK HILLS DR
ANCHORAGE, AK
ZIP 99516-241
Phone: (907) 345-1854

The provider's authorized official is Susan Cress .
The authorized official title is Direct Owner and has the following contact phone number (907) 345-1854.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/22/2020.

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	385H00000X	Respite Care		100415	ALASKA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HC8560	MEDICAID	ALASKA

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: 11/14/2023

NPI Synchronization or Removal

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