Provider Demographics
NPI:1821570110
Name:TAPULGO, FLORY
Entity Type:Individual
Prefix:
First Name:FLORY
Middle Name:
Last Name:TAPULGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 ROSEMARY ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-3019
Mailing Address - Country:US
Mailing Address - Phone:907-272-1221
Mailing Address - Fax:
Practice Address - Street 1:1504 ROSEMARY ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-3019
Practice Address - Country:US
Practice Address - Phone:907-272-1221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-03
Last Update Date:2018-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility