Organization
OMA & OPA'S PLACE ALH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN WOHLERS RN (OWNER)
(907) 868-3620
Entity
Organization
Contact information
Practice address
1550 E TIERRA GRANDE DR, WASILLA, AK 99654-3529
(907) 631-3537
Mailing address
1550 E TIERRA GRANDE DR, WASILLA, AK 99654-3529
(907) 631-3537
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101064
AK
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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