Provider Demographics
NPI:1699491159
Name:SAFE HAVEN ASSISTED LIVING OF ALASKA
Entity type:Organization
Organization Name:SAFE HAVEN ASSISTED LIVING OF ALASKA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SATTERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-317-2959
Mailing Address - Street 1:3431 EVERGREEN ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-4234
Mailing Address - Country:US
Mailing Address - Phone:907-338-0373
Mailing Address - Fax:
Practice Address - Street 1:3431 EVERGREEN ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-4234
Practice Address - Country:US
Practice Address - Phone:907-338-0373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility