GRANNY'S LOG CABIN CARE CENTER NPI 1609106251

NPI Information

  • NPI: 1609106251
  • Provider Name: GRANNY'S LOG CABIN CARE CENTER
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 3041 N CAMBAY CT
    WASILLA, AK
    ZIP 99654
  • Phone: (907) 631-3261

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NPI Details

GRANNY'S LOG CABIN CARE CENTER is an assisted living facility in Wasilla, 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. GRANNY'S LOG CABIN CARE CENTER NPI is 1609106251. The provider is registered as an organization entity type.

The provider's business location address is:

3041 N CAMBAY CT
WASILLA, AK
ZIP 99654-271
Phone: (907) 631-3261
Fax: (907) 357-5813

The provider's authorized official is Sherry Ann Butters .
The authorized official title is Owner and has the following contact phone number (907) 357-8800.

The enumeration date for this NPI number is 1/4/2010 and was last updated on 1/4/2010.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility100785ALASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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