| Bald Mountain View Assisted Living Home | |
|
1160 N Stanley Road Wasilla AK 99654-7018 | |
| (907) 373-5801 | |
| (907) 373-5801 |
| Full Name | Bald Mountain View Assisted Living Home |
|---|---|
| Speciality | Clinic/center |
| Location | 1160 N Stanley Road, Wasilla, Alaska |
| Authorized Official Name and Position | Nena Schurman (OWNER / ADMINISTRATOR) |
| Authorized Official Contact | 9073735801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bald Mountain View Assisted Living Home 490 N Main St # 184 Wasilla AK 99654-7018 Ph: (907) 373-5801 | Bald Mountain View Assisted Living Home 1160 N Stanley Road Wasilla AK 99654-7018 Ph: (907) 373-5801 |
| NPI Number | 1831399203 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831399203 | NPI | - | NPPES |
| RL1661 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 901834 (Alaska) | Primary |
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