Provider Demographics
NPI:1093332678
Name:ALASKA ABBEY HOME HEALTH CARE & PRIVATE DUTY NURSING
Entity Type:Organization
Organization Name:ALASKA ABBEY HOME HEALTH CARE & PRIVATE DUTY NURSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ZORA
Authorized Official - Middle Name:S
Authorized Official - Last Name:LESUEUR
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:907-519-3964
Mailing Address - Street 1:3240 PENLAND PKWY SPC 211
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-1913
Mailing Address - Country:US
Mailing Address - Phone:907-519-3964
Mailing Address - Fax:
Practice Address - Street 1:3240 PENLAND PKWY SPC 211
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-1913
Practice Address - Country:US
Practice Address - Phone:907-519-3964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty