Mountainside Assisted Living Home

NPI #1184047292 in Douglas, Alaska

Provider Information

NPI Number
1184047292
Entity Type
Organization
Organization Name
Mountainside Assisted Living Home
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Jan 24, 2014
Last Updated
Jan 10, 2015

Practice Location

Address
633 5TH ST
State
Alaska
ZIP Code
99824-5512
Phone
(907) 988-6422

Authorized Official

Name
MIAH LAGER
Title
DESIGNEE
Phone
(907) 635-6424

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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