Organization
GENTLE HANDS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD BRUCE JOHNSON (OWNER/DIRECTOR)
(907) 227-3524
Entity
Organization
Contact information
Practice address
4092 W MARBLE WAY, WASILLA, AK 99654-8752
(907) 227-3524
Mailing address
4092 W MARBLE WAY, WASILLA, AK 99654-8752
(907) 715-4403
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
07/21/2021
Last updated
10/15/2025
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