Colony Manor at Village Park Assisted Living Home
Colony Manor at Village Park Assisted Living Home is an Assisted Living Facility in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2010.
- Licensed in
- AK
- In the registry since
- 2010
Practice location Address checks out
2051 Porcupine TrWasilla, AK 99654 Not confirmed with CMS for 16 years — call before visiting
Phone: (907) 373-1880
Fax: (907) 373-1820
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 100649 (AK) |
|---|
Record details
| NPI number | 1790002459 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nathan Dahl — Administrator · (907) 373-1880 |
| NPI enumerated | April 21, 2010 |
| Last updated in NPPES | April 21, 2010 |
| Mailing address | Po Box 870469, Wasilla, AK 99687 |
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