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Wasilla Group Home Llc
Assisted Living Facility (Mental Illness) in Wasilla, Alaska
NPI 1699320127

Wasilla Group Home Llc is an Assisted Living Facility (Mental Illness) based in Wasilla, AK and is specialized in Assisted Living, Mental Illness. Wasilla Group Home Llc practices in Wasilla, AK. The NPI Number for Wasilla Group Home Llc is 1699320127 and holds a License No. (Alaska).

The current practice location address for Wasilla Group Home Llc is 3660 W Lynn Dr, Wasilla, AK and can be reached out via phone at 907-357-0102 and via fax at 907-631-4253. You can also correspond with Wasilla Group Home Llc through the mailing address at 3660 W LYNN DR, WASILLA, AK - 99654-0949 (mailing address contact number: 907-357-0102).

Location: 3660 W Lynn Dr, Wasilla, AK, 99654-0949
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699320127
Provider Name
Wasilla Group Home Llc
Credential
Provider Entity Type
Organization
Address
3660 W Lynn Dr, Wasilla, AK, 99654-0949
Phone Number
907-357-0102
Fax Number
907-631-4253
Provider Enumeration Date
08/01/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1026476 05 AK
institution
Provider Business Practice Location Address Details
Address
3660 W Lynn Dr
City
Wasilla
State
Alaska
Zip
99654-0949
Phone Number
907-357-0102
Fax Number
907-631-4253
person
Provider Business Mailing Address Details
Address
3660 W Lynn Dr
City
Wasilla
State
Alaska
Zip
99654-0949
Phone Number
907-357-0102
Fax Number
907-631-4253
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
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Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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