Main Street Assisted Living, Inc.

NPI #1023134178 in Homer, Alaska

Provider Information

NPI Number
1023134178
Entity Type
Organization
Organization Name
Main Street Assisted Living, Inc.
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 21, 2007
Last Updated
Apr 13, 2010

Practice Location

Address
4136 MAIN ST
City
Homer
State
Alaska
ZIP Code
99603-7035
Phone
(907) 235-6149

Authorized Official

Name
RUTH E BABCOCK
Title
ADMINISTRATOR
Phone
(907) 235-6149

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)
Respite Care
Assisted Living Facility

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