Home » Alaska » 99623 » Lake Haven Homes, Llc

Lake Haven Homes, Llc

Lake Haven Homes, Llc is a health care provider in Wasilla, AK. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 7781 W Dean Dr, Wasilla, AK 99623-0824, US
Practice Location Phone907-841-1380
Practice Location Fax907-841-1380
Legal Business NameLAKE HAVEN HOMES, LLC
NPI ?1598264715
Entity TypeOrganization
Enumeration Date ? Feb 2, 2018
Last Update Date ? Feb 2, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Lake Haven Homes, Llc

SpecialtySpecializationLicenseLicense State
Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 100183Alaska

official-icon Authorized Official of Lake Haven Homes, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Lake Haven Homes, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Marsha L Sommerville
Authorized Official Title/PositionADMINISTRATOR/OWNER
Authorized Official Phone Number907-841-1380