NPI 1295591568

Lilac Assisted Living Home LLC

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

Practice location

Address: 7521 Wade Cir, Anchorage, AK 99518-2050
Phone: (907) 891-5646
Mailing address: 1740 W 99th Ave, Anchorage, AK 99515-4510

Authorised official

Name: Diane Angelie Ong
Title: Owner
Phone: (907) 891-5646

Registered specialties (3)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

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Registry record

NPI: 1295591568
Entity type: Organization
NPI issued: 26 Feb 2024
Record last updated: 26 Feb 2024

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.