Organization · Type 2 NPI
Big Lake Country Club
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Houston, AK
Practice location
12528 Hawk Lane
Houston, AK 99694-2528
Mailing address
PO Box 299136
Wasilla, AK 99629-9136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 100554 (AK) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
6 other providers at this address
- Big Lake Country Club, LLCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Houston, AK NPI 1639497415
- Big Lake Mental Health ServicesIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Houston, AK NPI 1932339942
- Cozy Acres LLCAssisted Living Facility Houston, AK NPI 1093183279
- Jody HallCase Manager/Care Coordinator Houston, AK NPI 1164723516
- Lynda J. PlettnerIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Houston, AK NPI 1154503688
- Stephen Phillip GeddesCase Manager/Care Coordinator Houston, AK NPI 1598066938
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Houston
About NPI 1154580835
Big Lake Country Club's National Provider Identifier is 1154580835, issued on Jun 6, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Houston, AK. The record was last updated on Jul 22, 2009.