NPI 1659009272

Fairbanks Assisted Living, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Fairbanks, AK

Practice location

Address: 164 Syracuse CT APT 1, Fairbanks, AK 99709-2977
Phone: (907) 987-0304
Mailing address: 114 Cahaba St, Enterprise, AL 36330-3627

Authorised official

Name: Diana Margaleen Mhuriro
Title: Owner
Phone: (907) 888-5163

Registered specialties (4)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Community Based Hospice Care Agency

Agencies Taxonomy 251G00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Registry record

NPI: 1659009272
Entity type: Organization
NPI issued: 11 Aug 2022
Record last updated: 11 Aug 2022

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.