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Alaska Premium Care, Inc

Organization Active NPI Assisted Living Facility · Anchorage, AK

NPI 1295092153 · NPPES record last updated Sep 5, 2019

Key facts

NPI
1295092153
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
RLX (AK)
Legal business name
ALASKA PREMIUM CARE, INC
Practice address
2683 Wesleyan Dr
Anchorage, AK 99508-3700
Phone
(907) 227-5306
Fax
(907) 677-0433
NPI assigned
Apr 17, 2012
Organization subpart
No

Authorized official

Name
Mr. Jack Wayne Demoss, RN
Title
Ceo
Phone
(907) 223-2533

National Provider Directory

Locations

2683 Wesleyan Dr
Anchorage, AK 99508
Phone (907) 227-5306

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X RLX AK Yes

Addresses

Primary practice location

2683 Wesleyan Dr
Anchorage, AK 99508-3700

Mailing address

8431 Cormorant Cove Cir
Anchorage, AK 99507-5001
Phone (907) 644-1000

Other practice location 1

8431 Cormorant Cove Cir
Anchorage, AK 99507-5001
Phone (907) 227-5306

Other identifiers

IdentifierTypeStateIssuer
1578224MedicaidAK
1609011MedicaidAK

Other names

  • Alaska Premium Care Doing business as
  • The Cove Assisted Living Doing business as
  • Wesleyan Assisted Living Doing business as

Other providers in Anchorage, AK

All providers in Anchorage, AK · Assisted Living Facility in Alaska

Sources for this page

Verify at the official NPI Registry.