Organization
GLYSDICARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE M WATKINS (OWNER ADMINISTRATOR)
(907) 529-2248
Entity
Organization
Contact information
Practice address
7750 W GOLDEN DR, WASILLA, AK 99623-9235
(907) 373-7740
Mailing address
7750 W GOLDEN DR, WASILLA, AK 99623-9235
(907) 373-7740
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
09/18/2024
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