Provider Demographics
NPI:1831825678
Name:SANPIERRE ASSISTED LIVING, LLC
Entity type:Organization
Organization Name:SANPIERRE ASSISTED LIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:TASSIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-232-7947
Mailing Address - Street 1:5028 E CALF CIR
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-0041
Mailing Address - Country:US
Mailing Address - Phone:907-232-7947
Mailing Address - Fax:907-357-2271
Practice Address - Street 1:7481 S TERRITORIAL DR
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99623-1145
Practice Address - Country:US
Practice Address - Phone:907-232-7947
Practice Address - Fax:907-357-2271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation