Provider Demographics
NPI:1124501200
Name:FEH'S HUMANITARINA LLC
Entity type:Organization
Organization Name:FEH'S HUMANITARINA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PROVIDENCE
Authorized Official - Middle Name:ANDIN
Authorized Official - Last Name:FEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-887-6007
Mailing Address - Street 1:2948 KIMBERLIE CT
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5331
Mailing Address - Country:US
Mailing Address - Phone:907-887-6007
Mailing Address - Fax:
Practice Address - Street 1:2948 KIMBERLIE CT
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5331
Practice Address - Country:US
Practice Address - Phone:907-887-6007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-13
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK=========Medicaid