Iluminada's Assisted Living Home

NPI #1588984447 in Anchorage, Alaska

Provider Information

NPI Number: 1588984447
Entity Type: Organization
Organization Name: Iluminada's Assisted Living Home
Primary Specialty: Private Vehicle
Enumeration Date: Jun 2, 2010
Last Updated: Jun 2, 2010

Practice Location

Address: 7619 WINCHESTER ST
City: Anchorage
State: Alaska
ZIP Code: 99507-4814
Phone: (907) 868-2738

Authorized Official

Name: MRS. ILUMINADA LINGAD IBAY, CNA
Title: ADMINISTRATOR
Phone: (907) 868-2738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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