Organization Name: | DIGNIFIED HOME LIFE CARE INC |
NPI Number: | 1649471483 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CANDICE DIANE BELZ (ADMINISTRATOR) |
Mailing Address: | 3330 Creekside Dr Anchorage |
State: | AK US |
Postal Code: | 995044027 |
Phone Number: | 9073332968 |
Fax Number: | 9073332968 |
NPI Enumeration Date: | 05/30/2007 |
NPI Last Update Date: | 12/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 000113 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |