Organization
WILDFLOWER COURT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH A JOHNSON (CHIEF FINANCIAL OFFICER)
(907) 463-8712
Entity
Organization
Contact information
Practice address
2000 SALMON CREEK LN, JUNEAU, AK 99801-7801
(907) 463-8700
(907) 463-8743
Mailing address
2000 SALMON CREEK LN, JUNEAU, AK 99801-7801
(907) 463-8700
(907) 463-8743
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
277668
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTO153
—
AK
Enumeration date
01/27/2006
Last updated
08/22/2020
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