Big Lake Country Club, LLC
Big Lake Country Club, LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Houston, Alaska. Works from 4 locations. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12528 W Hawk LnHouston, AK 99694
Phone: (907) 232-8466
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (3)
- 471 S. Kenlar Road, Houston, AK 99694 — (907) 232-8466
- 12528 W. Hawk Lane, Houston, AK 99694 — (907) 232-8466
- 12528 W. Hawk Lane, Houston, AK 99694 — (907) 232-8466
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
Record details
| NPI number | 1528746153 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Geddes — Manager · (907) 250-6605 |
| NPI enumerated | July 5, 2023 |
| Last updated in NPPES | July 5, 2023 |
| Certification date | June 26, 2023 |
| Mailing address | Po Box 520069, Big Lake, AK 99652-0069 |
Other providers in Houston
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Big Lake Country Club, LLC
471 S Kenlar Rd, Houston, AK 99694 · (907) 232-8466
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Big Lake Country Club, LLC
12528 W Hawk Ln, Houston, AK 99694 · (907) 232-8466