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Organization
MOUNTAIN VALLEY SUPPORTED LIVING
Active
Organization
MOUNTAIN VALLEY SUPPORTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRIE SPAIN (ADMINISTRATOR/OWNER)
(907) 841-6400
Entity
Organization
Contact information
Practice address
172 S LAMONT CIR, WASILLA, AK 99623-9300
(907) 841-6400
Mailing address
7362 W PARKS HWY # 834, WASILLA, AK 99623-9300
(907) 841-6400
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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