Provider Demographics
NPI:1871185850
Name:HALLELUJAH ALH LLC
Entity Type:Organization
Organization Name:HALLELUJAH ALH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SOK
Authorized Official - Middle Name:
Authorized Official - Last Name:SON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-258-1141
Mailing Address - Street 1:PO BOX 241465
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99524-1465
Mailing Address - Country:US
Mailing Address - Phone:907-258-1141
Mailing Address - Fax:907-258-1527
Practice Address - Street 1:3722 PARSONS AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-1216
Practice Address - Country:US
Practice Address - Phone:907-258-1141
Practice Address - Fax:907-258-1527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness