Lake Haven Homes, LLC

NPI #1598264715 in Wasilla, Alaska

Provider Information

NPI Number: 1598264715
Entity Type: Organization
Organization Name: Lake Haven Homes, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 2, 2018
Last Updated: Feb 2, 2018

Practice Location

Address: 7781 W DEAN DR
City: Wasilla
State: Alaska
ZIP Code: 99623-0824
Phone: (907) 841-1380

Authorized Official

Name: MARSHA L SOMMERVILLE
Title: ADMINISTRATOR/OWNER
Phone: (907) 841-1380

Specialties & Taxonomy Codes

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

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