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Wickersham House Llc
Respite Care in Wasilla, Alaska
NPI 1891919577

Wickersham House Llc is a Respite Care based in Wasilla, AK. Wickersham House Llc practices in Wasilla, AK. The NPI Number for Wickersham House Llc is 1891919577 and holds a License No. 100366 (Alaska).

The current practice location address for Wickersham House Llc is 3950 Wickersham Way, Wasilla, AK and can be reached out via phone at 907-357-8342 and via fax at 907-357-8342.

Location: 3950 Wickersham Way, Wasilla, AK, 99654-7553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891919577
Provider Name
Wickersham House Llc
Credential
Provider Entity Type
Organization
Address
3950 Wickersham Way, Wasilla, AK, 99654-7553
Phone Number
907-357-8342
Fax Number
907-357-8342
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
RL5607 05 AK
HC 5607 05 AK
institution
Provider Business Practice Location Address Details
Address
3950 Wickersham Way
City
Wasilla
State
Alaska
Zip
99654-7553
Phone Number
907-357-8342
Fax Number
907-357-8342
person
Provider Business Mailing Address Details
Address
3950 Wickersham Way
City
Wasilla
State
Alaska
Zip
99654-7553
Phone Number
907-357-8342
Fax Number
907-357-8342
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
100366 (Alaska)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
100366 (Alaska)
Definition
Definition to come.
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