NPI 1003457508

David Groat

Practitioner Assisted Living Facility Wasilla, AK

Practice location

Address: 2650 N Garnet Ln, Wasilla, AK 99654-3414
Phone: (907) 355-8677

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1003457508
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2019
Record last updated: 5 Oct 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.