OrganizationIndependence Park Assisted LivingAssisted Living FacilityNursing & Custodial Care FacilitiesPractice Address9618 Newhaven Loop, Anchorage, AK 99507-4426(907) 350-2295PECOS EnrollmentBased on the most recent information from CMS, provider Independence Park Assisted Living 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 ID1760037550Provider TypeOrganizationFull NameIndependence Park Assisted LivingSubpartNoEnumeration Date8/7/2019Last Updated8/7/2019Contact InformationPractice LocationPractice Address9618 Newhaven Loop, Anchorage, AK 99507-4426Phone(907) 350-2295FaxUnlisted FaxMailing LocationMailing Address9618 Newhaven Loop, Anchorage, AK 99507-4426Phone(907) 350-2295FaxUnlisted FaxAuthorized OfficialNameMartinez, Daniel J (Administrator/Owner)Phone(907) 350-2295Provider TaxonomiesCodeDescriptionLicenseCode310400000XPrimaryDescriptionAssisted Living FacilityNursing & Custodial Care FacilitiesLicenseUnlisted Issuer