Individual
MARSHA SOMMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7781 W DEAN DR, WASILLA, AK 99623-0824
(907) 841-1380
(907) 841-1380
Mailing address
7362 W PARKS HWY # 638, WASILLA, AK 99623-9300
(907) 841-1380
(907) 357-7887
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100183
ASSISTED LIVING
AK
Enumeration date
06/23/2017
Last updated
06/23/2017
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