Provider Demographics
NPI:1629525688
Name:LA ALEGRIA ASSISTED LIVING HOME LLC
Entity Type:Organization
Organization Name:LA ALEGRIA ASSISTED LIVING HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DENISSE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-782-7529
Mailing Address - Street 1:4607 KLONDIKE CT
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-2242
Mailing Address - Country:US
Mailing Address - Phone:907-268-4815
Mailing Address - Fax:907-268-4815
Practice Address - Street 1:4607 KLONDIKE CT
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2242
Practice Address - Country:US
Practice Address - Phone:907-268-4815
Practice Address - Fax:907-268-4815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1026251310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility