Organization Name: | SIMPLY BLUE,ALH,LLC |
NPI Number: | 1326496092 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARISSA VALLANGCA (ADMINISTRATIVE OFFICER) |
Mailing Address: | 7451 Tyone Ct Anchorage |
State: | AK US |
Postal Code: | 995043531 |
Phone Number: | 9075706699 |
Fax Number: | 9079291178 |
NPI Enumeration Date: | 06/02/2016 |
NPI Last Update Date: | 06/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 10029349 |
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. |