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Contact Information

DANIEL R KLAUKA
1951 N BLUEBERRY DR
WASILLA, AK99654
 Phone: 907-671-8121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1336023415
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/02/2025
Last updated 08/06/2025 - About 10 months ago
Identifiers
AK License # 2209554
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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