Sue'S Sourdough Assisted Living Llc in Anchorage - Assisted Living Facility

Sue'S Sourdough Assisted Living Llc - NPI 1114140456

Sue'S Sourdough Assisted Living Llc is a Assisted Living Facility in Anchorage, Alaska. Sue'S Sourdough Assisted Living Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Sue'S Sourdough Assisted Living Llc is 1114140456. The last update date is 2020-08-22.

Sue'S Sourdough Assisted Living Llc's current location address is Po Box 110041, Anchorage, Alaska. You can contact this provider via phone number 9073451854. The mailing address for Sue'S Sourdough Assisted Living Llc is Po Box 110041, Anchorage, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sue'S Sourdough Assisted Living Llc
Address Po Box 110041, Anchorage, Alaska
Phone Number 9073451854
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECT OWN
Authorized Official Name Cress Susan
Telephone Number 9073451854

NPI Number Detail

NPI Number 1114140456
Provider Enumeration Date 2007-04-11
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 110041
City Anchorage
State Alaska (AK)
Post Code 995110041
Phone Number 9073451854
Fax Number

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No 100415
Definition:
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
RL3740 AK --

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FAQs about Sue'S Sourdough Assisted Living Llc

What is the unique identification code assigned to Sue'S Sourdough Assisted Living Llc by the Centers for Medicare & Medicaid Services?

The Sue'S Sourdough Assisted Living Llc has been issued the NPI (National Provider Identifier) 1114140456. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Sue'S Sourdough Assisted Living Llc is physically located?

The Sue'S Sourdough Assisted Living Llc is physically situated at the following address: Po Box 110041, Anchorage, AK, 995110041.

What is Sue'S Sourdough Assisted Living Llc's area of expertise and its corresponding taxonomy classification?

The Sue'S Sourdough Assisted Living Llc's field of specialization is Assisted Living Facility, and it falls under the taxonomy code 310400000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1114140456 to Sue'S Sourdough Assisted Living Llc?

The Sue'S Sourdough Assisted Living Llc received its 1114140456 assignment from the Centers for Medicare & Medicaid Services on 2007-04-11.

As of what date were the details related to Sue'S Sourdough Assisted Living Llc most recently updated or revised?

The information pertaining to Sue'S Sourdough Assisted Living Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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