Organization
O'BIES ADOBE, LLC
Active
Organization
O'BIES ADOBE, LLC
Active
Other names
O'Bies Adobe, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES EDWARD O'BRYAN JR. (OWNER/ADMINISTRATOR)
(907) 244-6929
Entity
Organization
Contact information
Practice address
1790 N CENTURIAN PL APT 3, WASILLA, AK 99654-5470
(907) 244-6929
Mailing address
4128 E COUNTRY FIELD CIR, WASILLA, AK 99654-6665
(907) 244-6929
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
10078143
AK
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up