Abra Assisted Living Home

NPI #1063702546 in Anchorage, Alaska

Provider Information

NPI Number: 1063702546
Entity Type: Organization
Organization Name: Abra Assisted Living Home
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 18, 2011
Last Updated: Apr 18, 2011

Practice Location

Address: 1609 BETULA CIR
Address 2: CIR
City: Anchorage
State: Alaska
ZIP Code: 99507-4126
Phone: (907) 522-0564

Authorized Official

Name: MR. MERLO ISANG LLANEZA SR.
Title: OWNER/ADMINITRATION
Phone: (907) 522-0564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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