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Our House On The Lake Llc
Assisted Living Facility in Kenai, Alaska
NPI 1407293145

Our House On The Lake Llc is an Assisted Living Facility based in Kenai, AK. Our House On The Lake Llc practices in Kenai, AK. The NPI Number for Our House On The Lake Llc is 1407293145 and holds a License No. 224 (Alaska).

The current practice location address for Our House On The Lake Llc is 47710 Interlake Dr, Kenai, AK and can be reached out via phone at 907-776-8684. You can also correspond with Our House On The Lake Llc through the mailing address at 47710 INTERLAKE DR, KENAI, AK - 99611-9694 (mailing address contact number: 907-776-8684).

Location: 47710 Interlake Dr, Kenai, AK, 99611-9694
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407293145
Provider Name
Our House On The Lake Llc
Credential
Provider Entity Type
Organization
Address
47710 Interlake Dr, Kenai, AK, 99611-9694
Phone Number
907-776-8684
Fax Number
Provider Enumeration Date
06/03/2013
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
RL4771 05 AK
RL3719 05 AK
institution
Provider Business Practice Location Address Details
Address
47710 Interlake Dr
City
Kenai
State
Alaska
Zip
99611-9694
Phone Number
907-776-8684
Fax Number
person
Provider Business Mailing Address Details
Address
47710 Interlake Dr
City
Kenai
State
Alaska
Zip
99611-9694
Phone Number
907-776-8684
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
224 (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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