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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

NPI Number 1770606030
Entity Organization
Organization subpart 1 Not specified
Enumeration date 04/09/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
AK License # RL2570
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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