O'bies Adobe, LLC

NPI #1255813655 in Wasilla, Alaska

Provider Information

NPI Number: 1255813655
Entity Type: Organization
Organization Name: O'bies Adobe, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 31, 2018
Last Updated: Aug 31, 2018

Practice Location

Address: 1790 N CENTURIAN PL APT 3
City: Wasilla
State: Alaska
ZIP Code: 99654-5470
Phone: (907) 244-6929

Authorized Official

Name: MR. CHARLES EDWARD O'BRYAN JR.
Title: OWNER/ADMINISTRATOR
Phone: (907) 244-6929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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