NPI 1598264715

Lake Haven Homes, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Wasilla, AK

Practice location

Address: 7781 W Dean Dr, Wasilla, AK 99623-0824
Phone: (907) 841-1380
Fax: (907) 841-1380
Mailing address: 7362 W Parks Hwy # 638, Wasilla, AK 99623-9300

Authorised official

Name: Marsha L Sommerville
Title: Administrator/Owner
Phone: (907) 841-1380

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 100183 (AK)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Alaska →

Registry record

NPI: 1598264715
Entity type: Organization
NPI issued: 2 Feb 2018
Record last updated: 2 Feb 2018

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.