| NPI | 1154137503 |
|---|---|
| Doing Business As | DEAF ALASKA ASSISTED LIVING HOME LLC |
| Entity Type | Organization |
| Authorized Contact | SEAN PATRICK GORDON Administrator 907-268-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |