# DENALI RIDGE ASSISTED LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073978300
- **Authorized official:** MRS. HEATHER BRINSON RN (OWNER)
- **Authorized official phone:** (907) 315-1415

## Contact information

- **Practice address:** 1450 N GRUBSTAKE DR, WASILLA, AK 99654-5512
- **Practice address phone:** (907) 315-1415
- **Mailing address:** 5771 S HANSON LOOP, WASILLA, AK 99623-4882
- **Mailing address phone:** (907) 315-1415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 101124 | AK | Yes |

## Other

- **Enumeration date:** 12/31/2015
- **Last updated:** 12/31/2015