NPI 1639570203

J&j Independent Living, LLC

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

Practice location

Address: 165 E. Parks Hwy Suite 106, Wasilla, AK 99654-3909
Phone: (907) 373-3953
Fax: (907) 373-3983
Mailing address: 165 E Parks Hwy Suite 106, Wasilla, AK 99654-7059

Authorised official

Name: Billie Jo Hansen
Title: Administrator/Owner
Phone: (907) 715-6507

Registered specialties (7)

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

Residential Treatment Facilities Taxonomy 320900000X

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Case Management Agency

Agencies Taxonomy 251B00000X Licence 1002558 (AK)

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X Licence 1002558 (AK)

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X Licence 1624210 (AK)

Foster Care Agency

Agencies Taxonomy 253J00000X

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Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Respite Care

Respite Care Facility Taxonomy 385H00000X Licence 1624210 (AK)

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Registry record

NPI: 1639570203
Entity type: Organization
NPI issued: 14 Sep 2014
Record last updated: 21 Sep 2016

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.