Organization
GRANNY'S LOG CABIN CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRY ANN BUTTERS (OWNER)
(907) 357-8800
Entity
Organization
Contact information
Practice address
3041 N CAMBAY CT, WASILLA, AK 99654-1271
(907) 631-3261
(907) 357-5813
Mailing address
647 N TIFFANY DR, PALMER, AK 99645-8410
(907) 357-8800
(907) 357-5813
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100785
AK
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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