NPI 1013237635

Lilley Lodge 1, LLC

Organisation Assisted Living Facility North Pole, AK

Practice location

Address: 2330 Old Richardson Hwy, North Pole, AK 99705-6017
Phone: (907) 347-1489
Fax: (907) 490-0322
Mailing address: PO Box 56709, North Pole, AK 99705-1709

Authorised official

Name: Terryann Gainer
Title: Administrator Owner
Phone: (907) 347-1489

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 100797 (AK)

Other Assisted Living Facility providers in Alaska →

Registry record

NPI: 1013237635
Entity type: Organization
NPI issued: 4 Jun 2010
Record last updated: 4 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.