MR. Gerald Bruce Johnson

NPI #1609443217 in Wasilla, Alaska

Provider Information

NPI Number: 1609443217
Entity Type: Individual
Name: MR. Gerald Bruce Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 10, 2021
Last Updated: Oct 15, 2025

Practice Location

Address: 4092 W MARBLE WAY
City: Wasilla
State: Alaska
ZIP Code: 99654-8752
Phone: (907) 227-3524

Specialties & Taxonomy Codes

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

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