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.
|Practice Location||7781 W Dean Dr, Wasilla, AK 99623-0824, US|
|Practice Location Phone||907-841-1380|
|Practice Location Fax||907-841-1380|
|Legal Business Name||LAKE HAVEN HOMES, LLC|
|Enumeration Date ?||Feb 2, 2018|
|Last Update Date ?||Feb 2, 2018|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities||Residential Treatment Facilities||100183||Alaska|
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/Position||ADMINISTRATOR/OWNER|
|Authorized Official Phone Number||907-841-1380|