Organization · Type 2 NPI
Aldergrove Assisted Living
Physical Disabilities Residential Treatment Facility · Homer, AK
NPI number
1477802197
Active
Practice location
41045 Denny Lane
Homer, AK 99603
Mailing address
PO Box 1954
Homer, AK 99603-1954
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
About NPI 1477802197
Aldergrove Assisted Living's National Provider Identifier is 1477802197, issued on Sep 10, 2012. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Homer, AK. The record was last updated on Sep 10, 2012.