NPI 1770606030

Virginia N Wodkowski

Practitioner Custodial Care Facility Willow, AK

Practice location

Address: 24572 W Lucky Shot Trail, Willow, AK 99688
Phone: (907) 495-6842
Mailing address: PO Box 557, Willow, AK 99688-0557

Registered specialties (2)

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence RL2570 (AK)

Other Custodial Care Facility providers in Alaska →

Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence RL2570 (AK)

Other Assisted Living Facility providers in Alaska →

Registry record

NPI: 1770606030
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2007
Record last updated: 11 Sep 2025

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.