The Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE MANOR LLC

Practice address

250 Heckman St
Ketchikan, AK 99901-5511

Phone

(907) 247-8748

Fax

(907) 247-8747

NPI assigned

Mar 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Delia D Dalhaug

Title

Owner

Phone

(907) 247-8748

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053443127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HECKMAN ST",
            "address_2": "PO BOX 8163",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015511",
            "telephone_number": "907-247-8748",
            "fax_number": "907-247-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HECKMAN ST",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015511",
            "telephone_number": "907-247-8748",
            "fax_number": "907-247-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALHAUG",
        "authorized_official_first_name": "DELIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-247-8748"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RL8080",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.