NPI 1184436883
Alaska Life Group Home, LLC
Practice location
- Address
- 23812 Dolly Ave, Chugiak, AK 99567-5577
- Phone
- (907) 854-0443
- Mailing address
- PO Box 670590, Chugiak, AK 99567-0590
Authorised official
- Name
- Holly Cannon
- Title
- Administrator
- Phone
- (907) 854-0443
Registered specialties
Respite Care
Primary
Registry record
- NPI
- 1184436883
- Entity type
- Organization
- NPI issued
- 21 Jan 2025
- Record last updated
- 21 Jan 2025
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.