VIRGINIA N WODKOWSKI


Address: 24572 W Lucky Shot Trail, Willow, AK 99688
Phone: 9074956842

VIRGINIA N WODKOWSKI (NPI# 1770606030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770606030
Entity Type Individual
Full Name VIRGINIA N WODKOWSKI
Practice Address 24572 W Lucky Shot Trail
Willow
AK 99688
Mailing Address Po Box 557
Willow
AK 99688-0557
Practice Telephone 9074956842
Mailing Telephone 9074956842
Enumeration Date 2007-04-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 310400000X Assisted Living Facility RL2570 AK Nursing & Custodial Care Facilities
X 311Z00000X Custodial Care Facility RL2570 AK Nursing & Custodial Care Facilities

Office Location

Street Address 24572 W LUCKY SHOT TRAIL
City WILLOW
State AK
Zip Code 99688

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912381658 Jason M. Lane Dds, LLC Dentist 23375 W Beluga Ave, Suite B, Willow, AK 99688 2015-07-13
1285958637 Sandi J Farris Veterinarian 13355 W Fowler Cir, Willow, AK 99688 2010-03-15
1285962464 Willow Personal Care Assistants, LLC In Home Supportive Care Mile 69. 1 Parks Highway, Willow, AK 99688 2009-11-25
1265684112 Bal, Inc Transportation Broker 32250 West Parks Highway, Willow, AK 99688 2008-10-22
1619955606 Jose Primo N Anzilotti General Practice Parks Highway Mile 69.1, Willow, AK 99688 2006-01-09
1376708347 Sharon L Hart Physician Assistant Mile 69.1 Parks Highway, Willow, AK 99688 2008-07-18
1699923714 Christa M Andrews Licensed Practical Nurse Mile 67 Parks Hwy & Nancy Lake Pkwy, Willow, AK 99688-0000 2008-09-03
1558854950 Lisa Rene Schooler-nuss Day Training/Habilitation Specialist 26526 W. Beryozova Dr., Willow, AK 99688-0109 2018-06-11
1982721981 Jose Primo N Anzilotti General Practice Mile 69.1 Parks Highway, Willow, AK 99688-0349 2007-03-23
1316245517 Frances Diana Walker In Home Supportive Care 19697 E. Passthebait Ave, Talkeetna, AK 99688-0513 2011-03-11
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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.
Notes: [7/1/2003: new]

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1699372656 Kathleen Corleto Assisted Living Facility 3180 Amanda Gayle Cir, Anchorage, AK 99507-2602 2020-10-02
1336754969 Snow City Assisted Living Home, LLC Assisted Living Facility 2634 Carroll Pl Unit B, Anchorage, AK 99508-3821 2020-09-10
1750991733 Uba Alh Assisted Living Facility 6730 E 10th Ave, Anchorage, AK 99504-1814 2020-08-05
1184233116 Mckinley Care LLC Assisted Living Facility 337 E 4th Ave Unit B, Anchorage, AK 99501-2664 2020-07-27
1154949949 Patrick L Sullivan Assisted Living Facility 3314 Dickson Rd, Anchorage, AK 99504-4035 2020-07-08
1699392035 Open Arms Assisted Living West LLC Assisted Living Facility 3660 W 78th Ave, Anchorage, AK 99502-4471 2020-07-01
1760004998 Guardian Angel Assisted Living Facility 8403 Mentra St, Anchorage, AK 99518-2906 2020-05-11
1609400738 Courtney Morrison Assisted Living Facility 119 Scow Bay Lp Rd, Petersburg, AK 99833-1556 2020-02-27
1235761230 Golden Years LLC Assisted Living Facility 2941 Morgan Loop, Anchorage, AK 99516 2020-02-07
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Competitor

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City WILLOW
Zip Code 99688

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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