VICTORY ASSISTED LIVING HOME NPI 1902166556

NPI Information

VICTORY 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. VICTORY ASSISTED LIVING HOME NPI is 1902166556. The provider is registered as an organization entity type.

The provider's business location address is:

9321 APHRODITE DR
ANCHORAGE,ALASKA
ANCHORAGE, AK
ZIP 99515-493
Phone: (907) 301-4697

The provider's authorized official is Macristina Nitiprawoto .
The authorized official title is Administrator and has the following contact phone number (907) 301-4697.

The enumeration date for this NPI number is 5/16/2012 and was last updated on 5/16/2012.

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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