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GRACEFUL LIVING LLC NPI 1700014727


NPI Information

NPI: 1700014727
Provider Name: GRACEFUL LIVING LLC

Doing Business As: SAME

Classification: Respite Care - 385HR2060X
Entity Type: Organization

Specialization: Respite Care, Intellectual and/or Developmental Disabilities

Address:
6300 E 9TH AVE
ANCHORAGE, AK
ZIP 99504
Phone: (907) 929-2431
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GRACEFUL LIVING LLC is a respite care and mental retardation and/or developmental disabilities respite care in Anchorage, AK. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. GRACEFUL LIVING LLC NPI is 1700014727. The provider is registered as an organization entity type.
The provider Is Doing Business As Same.

The provider's business location address is:

6300 E 9TH AVE
ANCHORAGE, AK
ZIP 99504-720
Phone: (907) 929-2431
Fax: (907) 338-3012

The provider's authorized official is Christiana Ilusen Ulofoshio .
The authorized official title is Owner/administrator and has the following contact phone number (907) 929-2431.

The enumeration date for this NPI number is 6/29/2009 and was last updated on 6/29/2009.


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
1385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11548461445MEDICAIDALASKA

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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