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Lynda J Plettner
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Houston, Alaska
NPI 1154503688

Lynda J Plettner is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Wasilla, AK. Lynda J Plettner practices in Houston, AK. The NPI Number for Lynda J Plettner is 1154503688 and holds a License No. RL7898 (Alaska).

The current practice location address for Lynda J Plettner is 12528 Hawk Lane, Houston, AK and can be reached out via phone at 907-892-6944 and via fax at 907-892-6945.

Location: 12528 Hawk Lane, Houston, AK, 99629-9136
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Provider Profile Details
NPI Number
1154503688
Provider Name
Lynda J Plettner
Credential
Provider Entity Type
Individual
Gender
Female
Address
12528 Hawk Lane, Houston, AK, 99629-9136
Phone Number
907-892-6944
Fax Number
907-892-6945
Provider Enumeration Date
11/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HC78981 05 AK
institution
Provider Business Practice Location Address Details
Address
12528 Hawk Lane
City
State
Zip
99694-2528
Phone Number
907-892-6944
Fax Number
907-892-6945
person
Provider Business Mailing Address Details
Address
12528 Hawk Lane
City
State
Zip
99694-2528
Phone Number
907-892-6944
Fax Number
907-892-6945
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
RL7898 (Alaska)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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