OrganizationSouthern Living Assisted Living Home LtdAssisted Living FacilityNursing & Custodial Care FacilitiesPractice Address9639 Musket Ball Cir, Anchorage, AK 99507-5389(907) 345-3416PECOS EnrollmentBased on the most recent information from CMS, provider Southern Living Assisted Living Home Ltd 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 2 days ago.Profile DetailsProvider ID1750604237Provider TypeOrganizationFull NameSouthern Living Assisted Living Home LtdSubpartNoEnumeration Date3/11/2010Last Updated3/11/2010Contact InformationPractice LocationPractice Address9639 Musket Ball Cir, Anchorage, AK 99507-5389Phone(907) 345-3416FaxUnlisted FaxMailing LocationMailing Address9639 Musketball Cir, Anchorage, AK 99507-5389Phone(907) 345-3416FaxUnlisted FaxAuthorized OfficialNameTroup, Mary Denise (President)Phone(907) 345-3416Provider TaxonomiesCodeDescriptionLicenseCode310400000XPrimaryDescriptionAssisted Living FacilityNursing & Custodial Care FacilitiesLicenseUnlisted IssuerAlaska