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Contact Information

MAKUPA ASSISTED LIVING HOME
8733 RUNAMARK PLACE
B
ANCHORAGE, AK99502
 Phone: 907-441-7219
 Fax: 907-344-2711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living, Behavioral Disturbances

3104A0630X
Indicates primary specialty

NPI Profile & details for MAKUPA ASSISTED LIVING HOME

NPI Number 1497945067
LBN Legal business name MAKUPA ASSISTED LIVING HOME
Authorized official IDA POEPPING - (ADMINISTRATOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2007
Last updated 07/30/2007 - About 19 years ago
Identifiers
AK License # 100557
AK Medicaid 1
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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