Glorious Life Alh LLC

NPI #1043559701 in Eagle River, Alaska

Provider Information

NPI Number
1043559701
Entity Type
Organization
Organization Name
Glorious Life Alh LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 31, 2013
Last Updated
Jan 31, 2013

Practice Location

Address
16641 MARCUS ST
State
Alaska
ZIP Code
99577-7677
Phone
(907) 622-4127

Authorized Official

Name
MRS. ROSALINDA A. CRUSE
Title
OWNER
Phone
(907) 622-4127

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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