OrganizationActive
Willow Creek Assisted Living
NPI 1710132345 · Developmental Disabilities Clinic/Center · Willow, AK
Provider details
- NPI number
- 1710132345
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Roberta Sandoval, Administrator(907) 495-2999
- License
- 100142 (AK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
23281 W. Willow Fishhok Rd
Willow, AK 99688-0558
Phone: (907) 495-2999
Fax: (907) 495-9199
Approximate (ZIP-level) locationGet directions
Mailing address
23281 W. Willow Fishook Rd
Willow, AK 99688-0558
Registry dates
- Enumerated
- 2008-11-24
- Last updated
- 2008-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.