Provider Demographics
NPI:1508302621
Name:SAUDA'S HELPING HANDS ASSISTANT LIVING HOME
Entity Type:Organization
Organization Name:SAUDA'S HELPING HANDS ASSISTANT LIVING HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAUDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDUL-HAQQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-632-3462
Mailing Address - Street 1:1735 KATRINA CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-3514
Mailing Address - Country:US
Mailing Address - Phone:907-632-3462
Mailing Address - Fax:907-258-7101
Practice Address - Street 1:1735 KATRINA CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-3514
Practice Address - Country:US
Practice Address - Phone:907-632-3462
Practice Address - Fax:907-258-7101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1003823104A0630X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances