Provider Demographics
NPI:1851412324
Name:EYE TO EYE ALH
Entity Type:Organization
Organization Name:EYE TO EYE ALH
Other - Org Name:MARGARET WILLIAMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:VALERIE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:PCA
Authorized Official - Phone:907-222-2480
Mailing Address - Street 1:3705 ARCTIC BLVD ANCHARAGE ALASKA 99503
Mailing Address - Street 2:7711 ARLENE STREET #B
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502
Mailing Address - Country:US
Mailing Address - Phone:907-222-2480
Mailing Address - Fax:907-222-4830
Practice Address - Street 1:3705 ARCTIC BLVD # 1211
Practice Address - Street 2:7711 ARLENE STREET #B
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-5774
Practice Address - Country:US
Practice Address - Phone:907-222-2480
Practice Address - Fax:907-222-4830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1001623104A0625X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKHC9768Medicaid
AKRL9768Medicaid