NPI 1477802197

Aldergrove Assisted Living

Organisation Physical Disabilities Residential Treatment Facility Homer, AK

Practice location

Address: 41045 Denny Lane, Homer, AK 99603
Phone: (907) 435-3938
Mailing address: PO Box 1954, Homer, AK 99603-1954

Authorised official

Name: Brian Sherbondy
Title: Administrator/Owner
Phone: (907) 435-3938

Registered specialties (4)

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

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Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Non-emergency Medical Transport (VAN)

Transportation Services Taxonomy 343900000X

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Registry record

NPI: 1477802197
Entity type: Organization
NPI issued: 10 Sep 2012
Record last updated: 10 Sep 2012

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.