person
Anthony Jimenez
Assisted Living Facility in Anchorage, Alaska
NPI 1104360452

Anthony Jimenez is an Assisted Living Facility based in Anchorage, AK. Anthony Jimenez practices in Anchorage, AK. The NPI Number for Anthony Jimenez is 1104360452 and holds a License No. 101179 (Alaska).

The current practice location address for Anthony Jimenez is 8401 Berry Patch Dr, Anchorage, AK and can be reached out via phone at 907-222-1028 and via fax at 907-222-1028.

Location: 8401 Berry Patch Dr, Anchorage, AK, 99502-7265
person
Provider Profile Details
NPI Number
1104360452
Provider Name
Anthony Jimenez
Credential
Provider Entity Type
Individual
Gender
Male
Address
8401 Berry Patch Dr, Anchorage, AK, 99502-7265
Phone Number
907-222-1028
Fax Number
907-222-1028
Provider Enumeration Date
12/06/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6800582 01 AK DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
8401 Berry Patch Dr
City
State
Zip
99502-7265
Phone Number
907-222-1028
Fax Number
907-222-1028
person
Provider Business Mailing Address Details
Address
8401 Berry Patch Dr
City
State
Zip
99502-7265
Phone Number
907-222-1028
Fax Number
907-222-1028
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
101179 (Alaska)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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