Big Lake Country Club, LLC
NPI #1669150207 in Houston, Alaska
Provider Information
- NPI Number
- 1669150207
- Entity Type
- Organization
- Organization Name
- Big Lake Country Club, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BIG LAKE COUNTRY CLUB, LLC
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 5, 2023
- Last Updated
- Jul 5, 2023
Practice Location
Authorized Official
- Name
- STEPHEN PHILLIP GEDDES
- Title
- MANAGER
- Phone
- (907) 250-6605
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Similar Providers
| Provider Name | |
|---|---|
| Big Lake Country Club, LLC | |
| Big Lake Country Club, LLC Part of Big Lake Country Club LLC | |
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