Divine Hope Assisted Living Home. LLC

NPI #1962154831 in Anchorage, Alaska

Provider Information

NPI Number: 1962154831
Entity Type: Organization
Organization Name: Divine Hope Assisted Living Home. LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 21, 2022
Last Updated: Jan 21, 2022

Practice Location

Address: 5503 SAPPHIRE LOOP
City: Anchorage
State: Alaska
ZIP Code: 99504
Phone: (858) 506-0359

Authorized Official

Name: ROMAN BASIL
Title: EMPLOYEE
Phone: (858) 506-0359

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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