NPI 1407293145

Our House on the Lake LLC

Organisation Assisted Living Facility Kenai, AK

Practice location

Address: 47710 Interlake Dr, Kenai, AK 99611-9694
Phone: (907) 776-8684

Authorised official

Name: Bonita R Quale
Title: Sole Member
Phone: (907) 776-8684

Registered specialties (2)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 224 (AK)

Other Assisted Living Facility providers in Alaska →

Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 100608 (AK)

Registry record

NPI: 1407293145
Entity type: Organization
NPI issued: 3 Jun 2013
Record last updated: 3 Jun 2013

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.