NPI 1386844355

Twin Hearts Ale

Organisation Physical Disabilities Residential Treatment Facility Anchorage, AK

Practice location

Address: 1111 Boston St, Anchorage, AK 99504-2015
Phone: (907) 339-9328
Fax: (907) 770-6019
Mailing address: 1111 Boston Street, Anchorage, AK 99504-2015

Authorised official

Name: Iluminada Puno Flores
Title: Administrator
Phone: (907) 339-9328

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 100593 (AK)

Other Residential Treatment Facility, Physical Disabilities providers in Alaska →

Registry record

NPI: 1386844355
Entity type: Organization
NPI issued: 19 Jul 2007
Record last updated: 3 Jul 2008

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.