Colony Manor Creekside Assisted Living Homes

NPI #1821315599 in Wasilla, Alaska

Provider Information

NPI Number: 1821315599
Entity Type: Organization
Organization Name: Colony Manor Creekside Assisted Living Homes
Primary Specialty: Assisted Living Facility
Enumeration Date: Apr 21, 2010
Last Updated: Apr 21, 2010

Practice Location

Address: 1998 CREEKSIDE DR
City: Wasilla
State: Alaska
ZIP Code: 99654
Phone: (907) 373-1880

Authorized Official

Name: MR. NATHAN DAHL
Title: ADMINISTRATOR
Phone: (907) 373-1880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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