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NPI Code Detail

MEDICARE: EYE TO EYE ASSISTED LIVING HOME

MEDICARE: EYE TO EYE ASSISTED LIVING HOME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1305R00000XPreferred Provider OrganizationRL9768AK

General Provider Information

NPI Number : 1215198429
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE TO EYE ASSISTED LIVING HOME
Provider Business Mailing Address
First Line : 3705 ARCTIC BLVD
Second Line : APARTMENT 1211
City : ANCHORAGE
State : AK
Zip : 99503-5774
Country : US
Telephone Number : 980-722-2248
Fax Number :
Provider Business Practice Location Address
First Line : 3705 ARTIC BLVD
Second Line : #1211
City : ANCHORAGE
State : AK
Zip : 99503-5774
Country : US
Telephone Number : 907-563-3131
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. MARGARET VALERIE WILLIAMS
Credential : PCA
Telephone Number : 907-222-2480
Provider Enumeration Date : 06/19/2008
Last Update Date : 06/19/2008

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Directions to “EYE TO EYE ASSISTED LIVING HOME ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.