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LIFETOTHEFULLESTLLC NPI 1245774108


NPI Information

NPI: 1245774108
Provider Name: LIFETOTHEFULLESTLLC
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
1233 5TH AVE
FAIRBANKS, AK
ZIP 99701
Phone: (907) 317-1093
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LIFETOTHEFULLESTLLC is an assisted living and mental illness assisted living facility in Fairbanks, AK. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. LIFETOTHEFULLESTLLC NPI is 1245774108. The provider is registered as an organization entity type.

The provider's business location address is:

1233 5TH AVE
FAIRBANKS, AK
ZIP 99701-211
Phone: (907) 317-1093

The provider's authorized official is Matthew Jeselnik .
The authorized official title is Owner/administrator and has the following contact phone number (907) 317-1093.

The enumeration date for this NPI number is 12/12/2016 and was last updated on 12/12/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13104A0625XAssisted Living FacilityAssisted Living, Mental Illness101139ALASKAYes

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

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