Provider Demographics
NPI:1447575170
Name:VIEWCREST ASSISTED LIVING HOME
Entity Type:Organization
Organization Name:VIEWCREST ASSISTED LIVING HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME & COMMUNITY BASED WAIVER COORD
Authorized Official - Prefix:MRS
Authorized Official - First Name:AURELIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALDROP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-561-5335
Mailing Address - Street 1:3194 VIEW CREST LN
Mailing Address - Street 2:
Mailing Address - City:KODIAK
Mailing Address - State:AK
Mailing Address - Zip Code:99615-7037
Mailing Address - Country:US
Mailing Address - Phone:907-561-5335
Mailing Address - Fax:907-564-7495
Practice Address - Street 1:540 W INTERNATIONAL AIRPORT RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-1105
Practice Address - Country:US
Practice Address - Phone:907-561-5335
Practice Address - Fax:907-564-7495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes177F00000XOther Service ProvidersLodgingGroup - Multi-Specialty