Provider Demographics
NPI:1003538927
Name:ZUMA ROCK ASSITED LIVING HOME
Entity type:Organization
Organization Name:ZUMA ROCK ASSITED LIVING HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AISHATU
Authorized Official - Middle Name:
Authorized Official - Last Name:DARNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-341-7064
Mailing Address - Street 1:8141 DEBARR RD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-5712
Mailing Address - Country:US
Mailing Address - Phone:907-341-7064
Mailing Address - Fax:
Practice Address - Street 1:8141 DEBARR RD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-5712
Practice Address - Country:US
Practice Address - Phone:907-341-7064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness