Organization
NORTHERN LIVING CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN L RHOADES (OWNER)
(907) 376-3821
Entity
Organization
Contact information
Practice address
2795 W STONEBRIDGE DR, WASILLA, AK 99654-0742
(907) 376-3821
Mailing address
3310 W. RIVERDELL DR., WASILLA, AK 99654-9704
(907) 376-3821
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
100409
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC 5257
—
AK
Enumeration date
03/05/2007
Last updated
08/22/2020
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