Aofalaska LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Eagle River, AK
NPI 1124392840 · NPPES record last updated Feb 27, 2012
Key facts
- NPI
- 1124392840
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 100803 (AK)
- Legal business name
- AOFALASKA LLC
- Practice address
- 19412 First St
Eagle River, AK 99577 - Phone
- (907) 244-9504
- NPI assigned
- Feb 27, 2012
- Organization subpart
- No
Authorized official
- Name
- Darcy L Hiett
- Title
- Administrator/Member
- Phone
- (907) 244-9504
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 100803 | AK | Yes |
Addresses
Primary practice location
19412 First St
Eagle River, AK 99577
Mailing address
19412 First St
Eagle River, AK 99577
Phone (907) 244-9504
Other names
- Mountain Vista ALH
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All providers in Eagle River, AK · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.