Legal Business Name
Eagle Crest Alh Llc
Also Known As
Eagle Crest
NPI Number
1326364647
NPI Type
Organization
Enumeration Date
04/12/2010
Specialties
(Taxonomies)Name
Code
385H00000X
251S00000X
251C00000X
315P00000X
320900000X
Primary Taxonomy
Yes
No
No
No
No
Licenses
State
Alaska
License Number
959821
Contact
Information
Purpose
Mailing
Location
Address
22306 SHADOWY SPRUCE DR
22626 CHAMBER LN
City
Chugiak
Chugiak
State
AK
AK
Postal Code
99567-5452
99567-6155
Country
US
US
Telephone Number
(907) 688-0123
(907) 688-0123
Authorized Official
Name
Mrs. Belinda Baldwin
Title or Position
EXECUTIVE DIRECTOR
Telephone Number
(907) 688-0123
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/15/2014
Provider Address
Other Respite Care in Chugiak, Alaska: