| Organization Name: | NORTHERN LIVING CENTERS, LLC |
| NPI Number: | 1144359142 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN L RHOADES (OWNER) |
| Mailing Address: | 2795 W Stonebridge Dr Wasilla |
| State: | AK US |
| Postal Code: | 996540742 |
| Phone Number: | 9073763821 |
| Fax Number: | |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 100409 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |