NPI 1588984447

Iluminada's Assisted Living Home

Organisation Private Vehicle Anchorage, AK

Practice location

Address: 7619 Winchester St, Anchorage, AK 99507-4814
Phone: (907) 868-2738
Fax: (907) 868-2738
Mailing address: 7430 Randamar Pl, Anchorage, AK 99507-5720

Authorised official

Name: Iluminada Lingad Ibay
Title: Administrator
Phone: (907) 868-2738

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 100681 (AK)

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Registry record

NPI: 1588984447
Entity type: Organization
NPI issued: 2 Jun 2010
Record last updated: 2 Jun 2010

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.