Northstar Assisted Living, Inc.

NPI #1215061205 in Wasilla, Alaska

Provider Information

NPI Number: 1215061205
Entity Type: Organization
Organization Name: Northstar Assisted Living, Inc.
Primary Specialty: Assisted Living Facility
Enumeration Date: Mar 14, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4070 S BIRCH COVE DR
City: Wasilla
State: Alaska
ZIP Code: 99654-9456
Phone: (907) 357-2019

Authorized Official

Name: MR. MICHAEL ALLEN HERVEY
Title: GENERAL MANAGER, PRESIDENT CEO
Phone: (907) 357-2012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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