EYE TO EYE ALH
Assisted Living, Mental Illness
Anchorage, Alaska
Provider NPI: 1851412324
Organization Information:Organization Name: EYE TO EYE ALH
Practice Location:
3705 ARCTIC BLVD # 1211 7711 ARLENE STREET #B ANCHORAGE, AK 99503 US
Tel: 907-222-2480 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3705 ARCTIC BLVD # 1211 7711 ARLENE STREET #B ANCHORAGE, AK 99503 US
Tel: 907-222-2480 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3104A0625X | Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Mental Illness | AK | 100162 |
Y | 343900000X | Transportation Services Non-emergency Medical Transport (VAN) | AK | 100162 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RL9768 | AK | 05 | |
HC9768 | AK | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin