Organization
WICKERSHAM HOUSE LLC
Active
Organization
WICKERSHAM HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA SHARON HENDRICKSON CNA, CASP (ADMINISTRATOR)
(907) 357-8342
Entity
Organization
Contact information
Practice address
3950 WICKERSHAM WAY, WASILLA, AK 99654-7553
(907) 357-8342
(907) 357-8342
Mailing address
3950 WICKERSHAM WAY, WASILLA, AK 99654-7553
(907) 357-8342
(907) 357-8342
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100366
AK
385H00000X
Respite Care
100366
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC 5607
—
AK
05
—
RL5607
—
AK
Enumeration date
04/12/2007
Last updated
09/11/2025
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