Northern Lights Care Assisted Living Home

NPI #1992996904 in Anchorage, Alaska

Provider Information

NPI Number: 1992996904
Entity Type: Organization
Organization Name: Northern Lights Care Assisted Living Home
Primary Specialty: Assisted Living Facility
Enumeration Date: Aug 5, 2007
Last Updated: Aug 5, 2007

Practice Location

Address: 3720 GARDNER ST
City: Anchorage
State: Alaska
ZIP Code: 99508-4954
Phone: (907) 646-7881

Authorized Official

Name: MS. CARMEN MARAVILLAS BOMBARDA
Title: ADMINISTRATOR
Phone: (907) 644-7881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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