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Contact Information

VIRGINIA N WODKOWSKI
24572 W LUCKY SHOT TRAIL
WILLOW, AK99688
 Phone: 907-495-6842
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Custodial Care Facility

311Z00000X
 

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for VIRGINIA N WODKOWSKI · (Female)

NPI # 1770606030
Status Active
Credentials
Entity Individual
Enumeration date 04/09/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • AK License # RL2570
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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