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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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