Lilley Lodge 1, LLC
NPI #1013237635 in North Pole, Alaska
Provider Information
- NPI Number
- 1013237635
- Entity Type
- Organization
- Organization Name
- Lilley Lodge 1, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 4, 2010
- Last Updated
- Jun 4, 2010
Practice Location
- Address
- 2330 OLD RICHARDSON HWY
- City
- North Pole
- State
- Alaska
- ZIP Code
- 99705-6017
- Phone
- (907) 347-1489
Authorized Official
- Name
- MS. TERRYANN GAINER, MBA
- Title
- ADMINISTRATOR OWNER
- Phone
- (907) 347-1489
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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