Guiding Light Assistant Living Home

NPI #1417126608 in Eagle River, Alaska

Provider Information

NPI Number
1417126608
Entity Type
Organization
Organization Name
Guiding Light Assistant Living Home
Subpart
Yes (part of a larger organization)
Parent Organization
GUIDING LIGHT ASSISTANT LIVING HOME LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 21, 2008
Last Updated
Aug 13, 2008

Practice Location

Address
11522 AURORA ST
State
Alaska
ZIP Code
99577-7846
Phone
(907) 227-6892

Authorized Official

Name
MRS. YOLANDA JACKSON, R.N.
Title
ADMINISTRATOR/OWNER
Phone
(907) 227-6892

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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