Provider Demographics
NPI:1710717129
Name:PILLARS OF CARE ASSISTED LIVING, LLC
Entity type:Organization
Organization Name:PILLARS OF CARE ASSISTED LIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:MARIA TERESA
Authorized Official - Middle Name:ALEJANDRINO
Authorized Official - Last Name:ACIERTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-942-1633
Mailing Address - Street 1:PO BOX 1652
Mailing Address - Street 2:
Mailing Address - City:KODIAK
Mailing Address - State:AK
Mailing Address - Zip Code:99615-1652
Mailing Address - Country:US
Mailing Address - Phone:907-942-1633
Mailing Address - Fax:
Practice Address - Street 1:618 LOWER MILL BAY RD
Practice Address - Street 2:
Practice Address - City:KODIAK
Practice Address - State:AK
Practice Address - Zip Code:99615-6357
Practice Address - Country:US
Practice Address - Phone:907-942-1633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness