J&j Independent Living, LLC

NPI #1639570203 in Wasilla, Alaska

Provider Information

NPI Number
1639570203
Entity Type
Organization
Organization Name
J&j Independent Living, LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Sep 14, 2014
Last Updated
Sep 21, 2016

Practice Location

Address
165 E. PARKS HWY
Address 2
SUITE 106
State
Alaska
ZIP Code
99654-3909
Phone
(907) 373-3953

Authorized Official

Name
BILLIE JO HANSEN
Title
ADMINISTRATOR/OWNER
Phone
(907) 715-6507

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services
Foster Care Agency
Assisted Living Facility
Respite Care
Case Management
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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