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SERENE GRACE ASSISTED LIVING HOME NPI 1790177764


NPI Information

NPI: 1790177764
Provider Name: SERENE GRACE ASSISTED LIVING HOME

Doing Business As: MIRASOL WILLIAMS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3639 E 74TH AVE
ANCHORAGE, AK
ZIP 99507
Phone: (907) 272-4073
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SERENE GRACE ASSISTED LIVING HOME 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. SERENE GRACE ASSISTED LIVING HOME NPI is 1790177764. The provider is registered as an organization entity type.
The provider Is Doing Business As Mirasol Williams.

The provider's business location address is:

3639 E 74TH AVE
ANCHORAGE, AK
ZIP 99507-829
Phone: (907) 272-4073
Fax: (907) 552-1626

The provider's authorized official is Mirasol Cariaga Williams .
The authorized official title is Administrator and has the following contact phone number (907) 244-1765.

The enumeration date for this NPI number is 2/26/2015 and was last updated on 2/26/2015.


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
1310400000XAssisted Living Facility101074ALASKAYes

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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