Aldergrove Assisted Living
Physical Disabilities Residential Treatment Facility in Homer, AK(View on Map)
Legal Business Name
Aldergrove Assisted Living
NPI Number
1477802197
NPI Type
Organization
Enumeration Date
09/10/2012
Specialties
(Taxonomies)Name
Code
320700000X
320900000X
320800000X
343900000X
Primary Taxonomy
Yes
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 1954
41045 DENNY LANE
City
Homer
Homer
State
AK
AK
Postal Code
99603-1954
99603
Country
US
US
Telephone Number
(907) 435-3938
(907) 435-3938
Authorized Official
Name
Brian Sherbondy
Title or Position
ADMINISTRATOR/OWNER
Telephone Number
(907) 435-3938
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/10/2012