Provider Demographics
NPI:1609314251
Name:MEANINGFUL LIVING LLC
Entity Type:Organization
Organization Name:MEANINGFUL LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:CHRISTIANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-854-0646
Mailing Address - Street 1:PO BOX 771031
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-1031
Mailing Address - Country:US
Mailing Address - Phone:907-854-6277
Mailing Address - Fax:907-726-0319
Practice Address - Street 1:10845 ANVIK CIR
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-8279
Practice Address - Country:US
Practice Address - Phone:907-854-6277
Practice Address - Fax:907-726-0319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1048687310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility