O'BIES ADOBE LLC NPI 1255813655

NPI Information

  • NPI: 1255813655
  • Provider Name: O'BIES ADOBE, LLC
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: O'BIES ADOBE, LLC
  • Address: 1790 N CENTURIAN PL APT 3
    WASILLA, AK
    ZIP 99654
  • Phone: (907) 244-6929

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NPI Details

O'BIES ADOBE, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Wasilla, AK. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. O'BIES ADOBE, LLC NPI is 1255813655. The provider is registered as an organization entity type.
The provider Is Doing Business As O'bies Adobe, Llc.

The provider's business location address is:

1790 N CENTURIAN PL APT 3
WASILLA, AK
ZIP 99654-470
Phone: (907) 244-6929

The provider's authorized official is Charles Edward O'bryan .
The authorized official title is Owner/administrator and has the following contact phone number (907) 244-6929.

The enumeration date for this NPI number is 8/31/2018 and was last updated on 8/31/2018.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities10078143ALASKAYes

What is NPI?

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This page was last updated on: 11/21/2025

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