Organization · Type 2 NPI
Big Lake Country Club, LLC
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Houston, AK
Practice location
12528 W. Hawk Lane
Houston, AK 99694
Mailing address
PO Box 520069
Big Lake, AK 99652-0069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Another provider at this address
Other intellectual and/or developmental disabilities residential treatment facility providers in Houston
About NPI 1700563301
Big Lake Country Club, LLC's National Provider Identifier is 1700563301, issued on Jul 5, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Houston, AK. The record was last updated on Jul 5, 2023.