Organization Name: | HERITAGE ASSISTED LIVING HOME,LLC |
NPI Number: | 1073852638 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOLLY JOANNA WOODS (ADMINISTATOR/OWNER) |
Mailing Address: | 6754 Obrien St Anchorage |
State: | AK US |
Postal Code: | 995072184 |
Phone Number: | 9072231100 |
Fax Number: | 9072222439 |
NPI Enumeration Date: | 02/01/2013 |
NPI Last Update Date: | 02/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 969461 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |