GOOD GRACE ASSISTED LIVING HOME,LLC
Nursing at Carroll Pl, Anchorage, AK

License number
Alaska 100904
Category
Nursing
Type
Assisted Living Facility
Owner
Name: JULIEELAINE TAYAN PENTECOSTES
Title: OWNER/ ADMINISTRATOR
Phone: (907) 929-0304
Address
Address
2649A Carroll Pl, Anchorage, AK 99508
National Provider ID: 1477845030
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GOOD GRACE ASSISTED LIVING HOME,LLC

Anchorage, AK

Registration:
Feb 7, 2011
Addresses:
6700 Howard Ave, Anchorage, AK 99504 (Mailing)
2649 #A Carroll Pl, Anchorage, AK 99508 (Physical)
State ID:
133177
Business type:
Limited Liability Company
Expiration:
Perpetual
Member, Manager:
Julie Elaine T. Pentecostes (Member, Manager)
Agent:
Julie Elaine Tayan Pentecostes,2649 #A Carroll Pl, Anchorage, AK 99508 (Mailing)
Next Report:
20150102

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