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NPI Code Detail

MEDICARE: CARITAS ASSISTED LIVING HOME INC.

MEDICARE: CARITAS ASSISTED LIVING HOME INC.
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
1310400000XAssisted Living FacilityRL7356AK

General Provider Information

NPI Number : 1558687087
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARITAS ASSISTED LIVING HOME INC.
Provider Business Mailing Address
First Line : 1720 ADONIS DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99515
Country : US
Telephone Number : 907-929-4819
Fax Number : 907-929-3819
Provider Business Practice Location Address
First Line : 1720 ADONIS DR
Second Line :
City : ANCHORAGE
State : AK
Zip : 99515-1486
Country : US
Telephone Number : 907-929-4819
Fax Number : 907-929-3819
Authorized Official
Title or Position : VICE PRES/ADMINISTRATOR
Name : MRS. JOSEPHINE LADORES LUBATON
Credential : RN
Telephone Number : 907-929-4819
Provider Enumeration Date : 04/08/2010
Last Update Date : 04/08/2010

Similar Medicare Providers

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Directions to “CARITAS ASSISTED LIVING HOME INC. ” Practice Location

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