NPI 1457717035

The Marietta House

Organisation Physical Disabilities Residential Treatment Facility Anchorage, AK

Practice location

Address: 3832 Young St, Anchorage, AK 99508-4548
Phone: (907) 222-1164
Fax: (907) 222-1164

Authorised official

Name: Alexander J Lomel
Title: Owner
Phone: (907) 222-1164

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 101094 (AK)

Other Residential Treatment Facility, Physical Disabilities providers in Alaska →

Registry record

NPI: 1457717035
Entity type: Organization
NPI issued: 12 Jan 2016
Record last updated: 12 Jan 2016

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.