Northern Living Center LLC

NPI #1073216438 in Wasilla, Alaska

Provider Information

NPI Number: 1073216438
Entity Type: Organization
Organization Name: Northern Living Center LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Mar 24, 2023
Last Updated: Mar 24, 2023

Practice Location

Address: 2795 W STONEBRIDGE DR
City: Wasilla
State: Alaska
ZIP Code: 99654-0742
Phone: (907) 376-5828

Authorized Official

Name: CORY DETTY
Title: MEMBER
Phone: (404) 944-0041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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