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Contact Information

ABBY ASSISTED LIVING LLC
1781 S ABBY BLVD
WASILLA, AK99654-8448
 Phone: 907-306-4173
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Custodial Care Facility

311Z00000X
Indicates primary specialty

NPI Profile & details for ABBY ASSISTED LIVING LLC

NPI # 1093476947
LBN Legal business name ABBY ASSISTED LIVING LLC
Authorized official JESSICA FULTON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2022
Last updated 01/04/2022 - About 4 years ago
Identifiers
AK Medicaid 1681005
AK Medicaid 1724270
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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