Provider Demographics
NPI:1851050132
Name:DARBOE'S ASSISTED LIVING HOME II
Entity Type:Organization
Organization Name:DARBOE'S ASSISTED LIVING HOME II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SORIBA
Authorized Official - Middle Name:
Authorized Official - Last Name:DARBOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-602-1140
Mailing Address - Street 1:1801 CRESCENT CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5117
Mailing Address - Country:US
Mailing Address - Phone:907-602-6646
Mailing Address - Fax:
Practice Address - Street 1:1801 CRESCENT CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5117
Practice Address - Country:US
Practice Address - Phone:907-602-1140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services