VIRGINIA N WODKOWSKI NPI 1770606030

NPI Information

NPI: 1770606030
Provider Name: VIRGINIA N WODKOWSKI
Classification: Assisted Living Facility - 310400000X
Entity Type: Individual
Address:
24572 W LUCKY SHOT TRAIL
WILLOW, AK
ZIP 99688
Phone: (907) 495-6842
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Virginia N Wodkowski is an assisted living facility in Willow, 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. Virginia N Wodkowski NPI is 1770606030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

24572 W LUCKY SHOT TRAIL
WILLOW, AK
ZIP 99688
Phone: (907) 495-6842

The enumeration date for this NPI number is 4/9/2007 and was last updated on 7/8/2007.

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
1	310400000X	Assisted Living Facility		RL2570	ALASKA	Yes
2	311Z00000X	Custodial Care Facility		RL2570	ALASKA	X

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: 4/28/2024

NPI Synchronization or Removal

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