Healthcare Provider Details

I. General information

NPI: 1659294171
Provider Name (Legal Business Name): ALDERWOOD ASSISTED LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9341 ERIS DR
ANCHORAGE AK
99515-4504
US

IV. Provider business mailing address

9341 ERIS DR
ANCHORAGE AK
99515-4504
US

V. Phone/Fax

Practice location:
  • Phone: 907-744-2485
  • Fax:
Mailing address:
  • Phone: 907-744-2485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: ESTEFANIE ONG
Title or Position: OWNER
Credential:
Phone: 907-744-2485