OrganizationActive
The Marietta House
NPI 1457717035 · Physical Disabilities Residential Treatment Facility · Anchorage, AK
Provider details
- NPI number
- 1457717035
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Alexander Lomel, Owner
- License
- 101094 (AK)
Practice location
3832 Young St
Anchorage, AK 99508-4548
Phone: (907) 222-1164
Fax: (907) 222-1164
Mailing address
3832 Young St
Anchorage, AK 99508-4548
Registry dates
- Enumerated
- 2016-01-12
- Last updated
- 2016-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.