Provider Demographics
NPI:1023816923
Name:ANCHORAGE ADULT DAY CARE
Entity type:Organization
Organization Name:ANCHORAGE ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARINELLE
Authorized Official - Middle Name:DIAMANTE
Authorized Official - Last Name:MANTOJAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-406-5640
Mailing Address - Street 1:3935 REKA DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-3517
Mailing Address - Country:US
Mailing Address - Phone:907-406-5640
Mailing Address - Fax:
Practice Address - Street 1:3935 REKA DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-3517
Practice Address - Country:US
Practice Address - Phone:907-406-5640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care