Provider Demographics
NPI:1346451135
Name:HOMEOFLOVEALH
Entity Type:Organization
Organization Name:HOMEOFLOVEALH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:BALTAZAR
Authorized Official - Last Name:CANLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-250-9404
Mailing Address - Street 1:7420 MARGARET CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-2043
Mailing Address - Country:US
Mailing Address - Phone:907-250-9404
Mailing Address - Fax:907-868-1156
Practice Address - Street 1:7430 MARGARET CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-2043
Practice Address - Country:US
Practice Address - Phone:907-250-9404
Practice Address - Fax:907-868-1156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility