- Agency Name
- FAIRBANKS ASSISTED LIVING, LLC
- Service Type
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Address
- 164 SYRACUSE CT APT 1, FAIRBANKS, AK 99709
- Phone Number
- (907) 987-0304
- NPI Number
- 1659009272
- Authorized Official
- DIANA MHURIRO (Owner)
- Enumeration Date
- 2022-08-11