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Contact Information

BALD MOUNTAIN VIEW ASSISTED LIVING HOME
1160 N STANLEY ROAD
WASILLA, AK99654-7018
 Phone: 907-373-5801
 Fax: 907-373-5801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for BALD MOUNTAIN VIEW ASSISTED LIVING HOME

NPI Number 1831399203
LBN Legal business name BALD MOUNTAIN VIEW ASSISTED LIVING HOME
Authorized official NENA SCHURMAN - (OWNER / ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/23/2007
Last updated 07/23/2007 - About 19 years ago
Identifiers
AK License # 901834
AK Medicaid RL1661
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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