Farmers Loop Home, LLC

NPI #1134455397 in Fairbanks, Alaska

Provider Information

NPI Number: 1134455397
Entity Type: Organization
Organization Name: Farmers Loop Home, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Oct 22, 2009
Last Updated: Oct 22, 2009

Practice Location

Address: 1002 SENATE LOOP
Address 2: 1002 SENATE LOOP
City: Fairbanks
State: Alaska
ZIP Code: 99712-1130
Phone: (907) 456-1440

Authorized Official

Name: MS. GLADYS NG'ENDO EGGER
Title: ADMINISTRATOR
Phone: (907) 456-1440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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