MARRULUT ENIIT ASSISTED LIVING, INC


Address: 125 D Street, Dillingham, AK 99576
Phone: 9078424600

MARRULUT ENIIT ASSISTED LIVING, INC (NPI# 1801079546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801079546
Entity Type Organization
Organization Name MARRULUT ENIIT ASSISTED LIVING, INC
Practice Address 125 D Street
Dillingham
AK 99576
Mailing Address Po Box 50
Dillingham
AK 99576-0050
Practice Telephone 9078424600
Practice Fax Number 9078424606
Mailing Telephone 9078424600
Mailing Fax Number 9078424606
Enumeration Date 2007-12-17
Last Update Date 2007-12-17
Authorized Official Name MR. BOBBY R MCCARR (ADMINISTRATOR)
Authorized Official Telephone 9078424600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 385H00000X Respite Care Respite Care Facility

Office Location

Street Address 125 D STREET
City DILLINGHAM
State AK
Zip Code 99576

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1306100557 Peter Tallman Social Worker 6000 Kanakanak, Dillingham, AK 99576 2012-07-02
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1396728614 Joan Lucienne Junge Nurse Practitioner 1500 Kanakanak Rd, Dillingham, AK 99576 2005-11-21
1760465181 Juliana Christine Montooth Family Medicine 6000 Kanakanak Rd, Dillingham, AK 99576 2005-11-21
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Taxonomy Information

Taxonomy Code 385H00000X
Grouping Respite Care Facility
Classification Respite Care

Taxonomy Definition

Definition to come.

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1619244548 A Kodiak Welcome Bed and Breakfast Respite Care 3570 Sean Circle, Kodiak, AK 99615 2011-11-21
1528358207 Divine Mercy II Alh, LLC Respite Care 417 E 11th Ave Apt 5, Anchorage, AK 99501-4560 2011-04-14
1659601409 Northern Lighthouse Dba Northern Lighthouse Day Center Respite Care 136 E Redoubt Ave, Soldotna, AK 99669-8012 2009-12-29
1952534489 The Ark of Homer Respite Care 1136 Seabreeze Ct, Homer, AK 99603-7935 2009-09-01
1467696641 Wasilla Retirement, LLC Respite Care 889 N. Elkhorn Drive, Wasilla, AK 99654 2009-05-01
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Competitor

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City DILLINGHAM
Zip Code 99576

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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