Organization · Type 2 NPI
Lilley Lodge 1, LLC
Assisted Living Facility · North Pole, AK
NPI number
1013237635
Active
Practice location
2330 Old Richardson Hwy
North Pole, AK 99705-6017
Fax (907) 490-0322
Mailing address
PO Box 56709
North Pole, AK 99705-1709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 100797 (AK) |
Assisted Living Facility: 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.
Another provider at this address
Other assisted living facility providers in North Pole
About NPI 1013237635
Lilley Lodge 1, LLC's National Provider Identifier is 1013237635, issued on Jun 4, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in North Pole, AK. The record was last updated on Jun 4, 2010.