Doctor Name: | LYDIA GUERRERO |
NPI Number: | 1194945816 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 000106 |
Business Practice Address: | 18242 Tonsina Ct Eagle River, AK - 99577 |
Business Phone Number: | 9076947555 |
Business Fax Number: | 9076947555 |
Mailing Address: | 18242 Tonsina Ct, EAGLE RIVER |
State: | AK |
Postal Code: | 99577 |
Phone Number: | 9076947555 |
Fax Number: | 9076947555 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 000106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |