Provider Demographics
NPI:1033852447
Name:FLOURISHING ALH II INC
Entity Type:Organization
Organization Name:FLOURISHING ALH II INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIVIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:BLANCAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-612-0468
Mailing Address - Street 1:2001 BARBOA CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-3430
Mailing Address - Country:US
Mailing Address - Phone:907-433-0038
Mailing Address - Fax:
Practice Address - Street 1:2001 BARBOA CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-3430
Practice Address - Country:US
Practice Address - Phone:907-433-0038
Practice Address - Fax:907-929-6065
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLOURISHING ALH II INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-14
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility