NPI 1063702546

Abra Assisted Living Home

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Anchorage, AK

Practice location

Address: 1609 Betula Cir Cir, Anchorage, AK 99507-4126
Phone: (907) 522-0564
Fax: (907) 929-7793
Mailing address: 1609 Betula Circcle, Anchorage, AK 99507-4126

Authorised official

Name: Merlo Isang Llaneza
Title: Owner/Adminitration
Phone: (907) 522-0564

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 100875 (AK)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Alaska →

Registry record

NPI: 1063702546
Entity type: Organization
NPI issued: 18 Apr 2011
Record last updated: 18 Apr 2011

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.