NPI | 1952323859 |
---|---|
Doing Business As | PROVIDENCE HORIZON HOUSE |
Entity Type | Organization |
Authorized Contact | THERESA MARIE GLEASON Interim Director 907-261-4167 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 279763) |
Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: AK 279763) |
385H00000X Respite Care (Licence: AK 279763) | |
Enumeration Date | 2006-07-23 |
Last Update Date | 2014-08-21 |