Organization
COLONY HOUSE INC.
Active
Other names
Colony House
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN DAHL (ADMINISTRATOR)
(907) 841-1217
Entity
Organization
Contact information
Practice address
2801 E BOGARD RD, WASILLA, AK 99654-6014
(907) 357-1850
(907) 373-1820
Mailing address
PO BOX 870469, WASILLA, AK 99687-0469
(907) 841-1217
(907) 373-1824
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000604
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1581371
—
AK
Enumeration date
12/26/2017
Last updated
12/26/2017
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