Fairbanks Assisted Living, LLC

NPI #1659009272 in Fairbanks, Alaska

Provider Information

NPI Number: 1659009272
Entity Type: Organization
Organization Name: Fairbanks Assisted Living, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 11, 2022
Last Updated: Aug 11, 2022

Practice Location

Address: 164 SYRACUSE CT APT 1
City: Fairbanks
State: Alaska
ZIP Code: 99709-2977
Phone: (907) 987-0304

Authorized Official

Name: DIANA MARGALEEN MHURIRO, RN
Title: OWNER
Phone: (907) 888-5163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospice Care, Community Based	251G00000X
Day Training, Developmentally Disabled Services	251C00000X
In Home Supportive Care	253Z00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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