Organization
MAT-SU ACTIVITY AND RESPITE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SASSEEN (EXECUTIVE DIRECTOR)
(907) 357-8622
Entity
Organization
Contact information
Practice address
951 E BOGARD RD, WASILLA, AK 99654-7113
(907) 357-8622
(907) 357-8624
Mailing address
951 E BOGARD RD, WASILLA, AK 99654-7113
(907) 357-8622
(907) 357-8624
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
02/18/2008
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