Organization
WASILLA AREA SENIORS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE MUNSELL (CHIEF EXECUTIVE OFFICER)
(907) 206-8795
Entity
Organization
Contact information
Practice address
1301 S CENTURY CIRCLE, WASILLA, AK 99654
(907) 206-8800
(907) 802-4788
Mailing address
1301 S CENTURY CIRCLE, WASILLA, AK 99654
(907) 206-8800
(907) 802-4788
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
171M00000X
AK
Other
Enumeration date
01/22/2009
Last updated
05/12/2023
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