NPI 1184047292

Mountainside Assisted Living Home

Organisation Developmentally Disabled Services Day Training Agency Douglas, AK

Practice location

Address: 633 5th St, Douglas, AK 99824-5512
Phone: (907) 988-6422

Authorised official

Name: Miah Lager
Title: Designee
Phone: (907) 635-6424

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X Licence 101026 (AK)

Other Day Training, Developmentally Disabled Services providers in Alaska →

Registry record

NPI: 1184047292
Entity type: Organization
NPI issued: 24 Jan 2014
Record last updated: 10 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.