Organization
JOLLY CARE ASSISTED LIVING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WILFRED BARRAS III (OWNER/ADMIN)
(907) 602-9642
Entity
Organization
Contact information
Practice address
221 ANNA ST N, PALMER, AK 99645-6821
(907) 602-9642
Mailing address
221 ANNA ST N, PALMER, AK 99645-6821
(907) 602-9642
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
01/12/2026
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