NPI 1619548948

Shelana Renee Malone

Practitioner Assisted Living Facility (Mental Illness) Wasilla, AK

Practice location

Address: 4151 S Meadow Dr, Wasilla, AK 99623-0465
Phone: (907) 602-0371
Mailing address: PO Box 879040, Wasilla, AK 99687-8900

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence 101452 (AK)

Other Assisted Living Facility providers in Alaska →

Registry record

NPI: 1619548948
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2021
Record last updated: 14 Sep 2021

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.