LILLEY LODGE 1 LLC NPI 1013237635

NPI Information

LILLEY LODGE 1, LLC is an assisted living facility in North Pole, AK. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LILLEY LODGE 1, LLC NPI is 1013237635. The provider is registered as an organization entity type.

The provider's business location address is:

2330 OLD RICHARDSON HWY
NORTH POLE, AK
ZIP 99705-017
Phone: (907) 347-1489
Fax: (907) 490-0322

The provider's authorized official is Terryann Gainer .
The authorized official title is Administrator Owner and has the following contact phone number (907) 347-1489.

The enumeration date for this NPI number is 6/4/2010 and was last updated on 6/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.