Our Lady of Grace Home

NPI #1922213925 in Anchorage, Alaska

Provider Information

NPI Number: 1922213925
Entity Type: Organization
Organization Name: Our Lady of Grace Home
Primary Specialty: Assisted Living Facility
Enumeration Date: May 11, 2007
Last Updated: Mar 3, 2008

Practice Location

Address: 3730 W 74TH AVE
City: Anchorage
State: Alaska
ZIP Code: 99502-2862
Phone: (907) 868-8863

Authorized Official

Name: RODELIA TAMILAG PACUDAN
Title: ADMINISTRATOR
Phone: (907) 868-8863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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