OrganizationActive
Living Water Family Home
NPI 1053100297 · Developmentally Disabled Services Day Training Agency · Wasilla, AK
Provider details
- NPI number
- 1053100297
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Pristine Beers, Ceo(631) 560-8991
Specialties & taxonomies
Agencies
Practice location
5440 W Placide Cir
Wasilla, AK 99623-0982
Phone: (631) 560-8991
Approximate (ZIP-level) locationGet directions
Mailing address
5440 W Placide Cir
Wasilla, AK 99623-0982
Registry dates
- Enumerated
- 2025-05-05
- Last updated
- 2025-05-05
- Certified
- 2025-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.