Ark of Emmanuel Assisting Living Home

Organization Active NPI Assisted Living Facility · Anchorage, AK

NPI 1508029240 · NPPES record last updated Jul 2, 2008

Key facts

NPI
1508029240
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
908797 (AK)
Legal business name
ARK OF EMMANUEL ASSISTING LIVING HOME
Practice address
5454 Emmanuel Ave
Anchorage, AK 99508-4934
Phone
(907) 677-9289
Fax
(907) 677-9289
NPI assigned
Jul 2, 2008
Organization subpart
No

Authorized official

Name
Randy B Pentecostes, PT
Title
Admnistrator
Phone
(907) 677-9289

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 908797 AK Yes

Addresses

Primary practice location

5454 Emmanuel Ave
Anchorage, AK 99508-4934

Mailing address

5454 Emmanuel Ave
Anchorage, AK 99508-4934
Phone (907) 677-9289

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.