Organization · Type 2 NPI

Lilac Assisted Living Home LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Anchorage, AK

NPI number 1295591568 Active

Practice location

7521 Wade Cir
Anchorage, AK 99518-2050

Call (907) 891-5646 Map

Mailing address

1740 W 99th Ave
Anchorage, AK 99515-4510

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	None listed
Mental Illness Community Based Residential Treatment Facility	320800000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1295591568

Lilac Assisted Living Home LLC's National Provider Identifier is 1295591568, issued on Feb 26, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Anchorage, AK. The record was last updated on Feb 26, 2024.