Provider Demographics
NPI:1396306528
Name:H&L ASSISTED LIVING, LLC.
Entity type:Organization
Organization Name:H&L ASSISTED LIVING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUSEANE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-342-5841
Mailing Address - Street 1:2401 E 68TH AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-2416
Mailing Address - Country:US
Mailing Address - Phone:907-342-5841
Mailing Address - Fax:
Practice Address - Street 1:2401 E 68TH AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-2416
Practice Address - Country:US
Practice Address - Phone:907-342-5841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-27
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility