INDEPENDENCE PARK ASSISTED LIVING NPI 1760037550

NPI Information

INDEPENDENCE PARK ASSISTED LIVING is an assisted living facility in Anchorage, 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. INDEPENDENCE PARK ASSISTED LIVING NPI is 1760037550. The provider is registered as an organization entity type.

The provider's business location address is:

9618 NEWHAVEN LOOP
ANCHORAGE, AK
ZIP 99507-426
Phone: (907) 350-2295

The provider's authorized official is Daniel J Martinez .
The authorized official title is Administrator/owner and has the following contact phone number (907) 350-2295.

The CLIA number assigned to this NPI record is 02D0640552 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/7/2019 and was last updated on 8/7/2019.

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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