Organization
BALD MOUNTAIN VIEW ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NENA SCHURMAN (OWNER / ADMINISTRATOR)
(907) 373-5801
Entity
Organization
Contact information
Practice address
1160 N STANLEY ROAD, WASILLA, AK 99654-7018
(907) 373-5801
(907) 373-5801
Mailing address
490 N MAIN ST # 184, WASILLA, AK 99654-7018
(907) 373-5801
(907) 373-5801
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
901834
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL1661
—
AK
Enumeration date
07/23/2007
Last updated
07/23/2007
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