Provider Demographics
NPI:1225319254
Name:A TOUCH OF HOME ASSISTED LIVING LLC
Entity Type:Organization
Organization Name:A TOUCH OF HOME ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:ARLETA
Authorized Official - Middle Name:NOONAME
Authorized Official - Last Name:KINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-770-1309
Mailing Address - Street 1:6921 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-2441
Mailing Address - Country:US
Mailing Address - Phone:907-770-1309
Mailing Address - Fax:907-770-1309
Practice Address - Street 1:6921 OAKWOOD DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-2441
Practice Address - Country:US
Practice Address - Phone:907-770-1309
Practice Address - Fax:907-770-1309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-03
Last Update Date:2011-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK959863310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility