OrganizationPals Palace Assistant Living HomeAssisted Living FacilityNursing & Custodial Care FacilitiesPractice Address2220 E 53rd Ave, Anchorage, AK 99507-1661(907) 569-3022PECOS EnrollmentBased on the most recent information from CMS, provider Pals Palace Assistant Living Home does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1619186145Provider TypeOrganizationFull NamePals Palace Assistant Living HomeSubpartNoEnumeration Date5/22/2007Last Updated6/19/2008Contact InformationPractice LocationPractice Address2220 E 53rd Ave, Anchorage, AK 99507-1661Phone(907) 569-3022FaxUnlisted FaxMailing LocationMailing Address2220 E 53rd Ave, Anchorage, AK 99507-1661PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameSupasorn, Chuanpis (Administrator)Phone(907) 569-3022Provider TaxonomiesCodeDescriptionLicenseCode310400000XPrimaryDescriptionAssisted Living FacilityNursing & Custodial Care FacilitiesLicense000162AlaskaCode385H00000XDescriptionRespite CareRespite Care FacilityLicense000162AlaskaProvider IdentifiersIDDescriptionIssuerID310400000XDescriptionMedicaidIssuerUnlistedAlaskaID311Z00000XDescriptionMedicaidIssuerUnlistedAlaskaID385H00000XDescriptionMedicaidIssuerUnlistedAlaska