Otter House LLC

NPI #1922599844 in Anchorage, Alaska

Provider Information

NPI Number: 1922599844
Entity Type: Organization
Organization Name: Otter House LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: May 26, 2018
Last Updated: May 26, 2018

Practice Location

Address: 1503 OTTER ST
City: Anchorage
State: Alaska
ZIP Code: 99504-2540
Phone: (907) 947-1355

Authorized Official

Name: RAMONA LYNNE STEVENS
Title: ADMINISTRATOR
Phone: (907) 947-1355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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