OrganizationActive
Fairbanks Assisted Living, LLC
NPI 1659009272 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fairbanks, AK
Provider details
- NPI number
- 1659009272
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Diana Mhuriro, Owner(907) 888-5163
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Community Based Hospice Care Agency251G00000X
Agencies
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
164 Syracuse Ct Apt 1
Fairbanks, AK 99709-2977
Phone: (907) 987-0304
Approximate (ZIP-level) locationGet directions
Mailing address
114 Cahaba St
Enterprise, AL 36330-3627
Registry dates
- Enumerated
- 2022-08-11
- Last updated
- 2022-08-11
- Certified
- 2022-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.