OrganizationActive
J&j Independent Living, LLC
NPI 1639570203 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Wasilla, AK
Provider details
- NPI number
- 1639570203
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Billie Hansen, Administrator/Owner(907) 715-6507
- License
- 1624210 (AK)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Agencies
- Foster Care Agency253J00000X
Agencies
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Respite Care Facility
Agencies
Practice location
165 E. Parks Hwy
Suite 106
Wasilla, AK 99654-3909
Phone: (907) 373-3953
Fax: (907) 373-3983
Approximate (ZIP-level) locationGet directions
Mailing address
165 E Parks Hwy
Wasilla, AK 99654-7059
Registry dates
- Enumerated
- 2014-09-14
- Last updated
- 2016-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.