Provider Demographics
NPI:1295211498
Name:TRUE NORTH ASSISTED LIVING, LLC
Entity Type:Organization
Organization Name:TRUE NORTH ASSISTED LIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:PIERRE
Authorized Official - Last Name:HUNTE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:907-602-7142
Mailing Address - Street 1:3406 SEPPALA DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-1143
Mailing Address - Country:US
Mailing Address - Phone:907-602-7142
Mailing Address - Fax:
Practice Address - Street 1:9321 APHRODITE DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-1493
Practice Address - Country:US
Practice Address - Phone:907-602-7142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK101266310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility