Edgar Lattimores Assisted Living

NPI #1962693812 in Anchorage, Alaska

Provider Information

NPI Number: 1962693812
Entity Type: Organization
Organization Name: Edgar Lattimores Assisted Living
Primary Specialty: Community/Behavioral Health
Enumeration Date: Aug 6, 2007
Last Updated: Aug 6, 2007

Practice Location

Address: 6320 MINK AVE
City: Anchorage
State: Alaska
ZIP Code: 99504-2527
Phone: (907) 830-8365

Authorized Official

Name: EDGAR LATTIMORE
Title: OWNER/ ADMINISTRATOR
Phone: (907) 830-8365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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