Organization Name: | ARCTIC HAVEN ALH, INC. |
NPI Number: | 1902035132 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MYLA GRACIA C GATPANDAN (PRESIDENT-ADMINISTRATOR) |
Mailing Address: | 3300 E 15th Ave Anchorage |
State: | AK US |
Postal Code: | 995083005 |
Phone Number: | 9072580197 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2009 |
NPI Last Update Date: | 07/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 735447 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |