| 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 |