Provider Demographics
NPI:1902381940
Name:ALKAMBA MARENAH ENTERPRISES, LLC
Entity Type:Organization
Organization Name:ALKAMBA MARENAH ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SIDAT
Authorized Official - Middle Name:M
Authorized Official - Last Name:MARENAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-278-1754
Mailing Address - Street 1:1545 DEMEURE PL
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-3164
Mailing Address - Country:US
Mailing Address - Phone:907-278-1754
Mailing Address - Fax:
Practice Address - Street 1:1545 DEMEURE PL
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-3164
Practice Address - Country:US
Practice Address - Phone:907-278-1754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness