O'bies Adobe, Llc, NPI 1255813655
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wasilla, AK, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1255813655
NPI Entity Type Organization
Provider Name O'bies Adobe, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1790 N Centurian Pl Apt 3, Wasilla, AK, US
Provider Mailing Address 4128 E Country Field Cir, Wasilla, AK, US, 996546665
Is Sole Proprietor? No
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Organization Official

Official Name MR. Charles Edward O'bryan JR.
Official Position OWNER/ADMINISTRATOR
Phone 907-244-6929

Primary Taxonomy

Taxonomy Code

320900000X

Taxonomy Name Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Group

Residential Treatment Facilities

License No. 10078143
License State AK
Description A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Other Organization Name

O'Bies Adobe, LLC
Doing Business As

Business Address

O'bies Adobe, Llc
1790 N Centurian Pl Apt 3

Wasilla, AK, US

Phone: 907-244-6929

Mailing Address

O'bies Adobe, Llc
4128 E Country Field Cir
Wasilla, AK, US
ZIP 996546665
Phone: 907-244-6929

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1992450910

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Pang Juan Lim

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Michelle Kuehn

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Day Training/Habilitation Specialist

1550 E 74th Ave

Anchorage, AK

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