# BALD MOUNTAIN VIEW ASSISTED LIVING HOME

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

## Provider details

- **NPI number:** 1831399203
- **Authorized official:** MRS. NENA SCHURMAN (OWNER / ADMINISTRATOR)
- **Authorized official phone:** (907) 373-5801

## Contact information

- **Practice address:** 1160 N STANLEY ROAD, WASILLA, AK 99654-7018
- **Practice address phone:** (907) 373-5801
- **Practice address fax:** (907) 373-5801
- **Mailing address:** 490 N MAIN ST \# 184, WASILLA, AK 99654-7018
- **Mailing address phone:** (907) 373-5801
- **Mailing address fax:** (907) 373-5801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 901834 | AK | Yes |

## Other

- **Enumeration date:** 07/23/2007
- **Last updated:** 07/23/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | RL1661 | — | AK |