OrganizationActive
Mountainside Assisted Living Home
NPI 1184047292 · Developmentally Disabled Services Day Training Agency · Douglas, AK
Provider details
- NPI number
- 1184047292
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Miah Lager, Designee(907) 635-6424
- License
- 101026 (AK)
Specialties & taxonomies
Agencies
Practice location
633 5th St
Douglas, AK 99824-5512
Phone: (907) 988-6422
Approximate (ZIP-level) locationGet directions
Mailing address
633 5th St
Douglas, AK 99824-5512
Registry dates
- Enumerated
- 2014-01-24
- Last updated
- 2015-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.