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Big Lake Country Club, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Houston, Alaska
NPI 1639497415

Big Lake Country Club, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Wasilla, AK. Big Lake Country Club, Llc practices in Houston, AK. The NPI Number for Big Lake Country Club, Llc is 1639497415 and holds a License No. CMG (Alaska).

The current practice location address for Big Lake Country Club, Llc is 12528 Hawk Lane, Houston, AK and can be reached out via phone at 907-892-6944.

Location: 12528 Hawk Lane, Houston, AK, 99629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639497415
Provider Name
Big Lake Country Club, Llc
Credential
Provider Entity Type
Organization
Address
12528 Hawk Lane, Houston, AK, 99629
Phone Number
907-892-6944
Fax Number
Provider Enumeration Date
05/04/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12528 Hawk Lane
City
Houston
State
Alaska
Zip
99694
Phone Number
907-892-6944
Fax Number
person
Provider Business Mailing Address Details
Address
12528 Hawk Lane
City
Houston
State
Alaska
Zip
99694
Phone Number
907-892-6944
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
940288 (Alaska)
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
HCS (Alaska)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
CMG (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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