Whalio Doctors

NPI 1679704712

The Children's Place

Organisation Voluntary or Charitable Agency Wasilla, AK

Practice location

Address
1021 N Lucille St, Wasilla, AK 99654-6405
Phone
(907) 357-5157
Fax
(907) 357-5159
Mailing address
PO Box 871788, Wasilla, AK 99687

Authorised official

Name
Michelle Renee Bayless
Title
Executive Director
Phone
(907) 357-5157

Registered specialties

Voluntary or Charitable Agency Primary
Agencies Taxonomy 251V00000X Licence 271872 (AK)

Registry record

NPI
1679704712
Entity type
Organization
NPI issued
6 Aug 2009
Record last updated
1 May 2019

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.