Big Lake Country Club, LLC
Big Lake Country Club, LLC is a Case Management Agency in Houston, Alaska. Licensed in Alaska. Registered with an NPI since 2010.
- Licensed in
- AK
- In the registry since
- 2010
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12528 Hawk LnHouston, AK 99694
Phone: (907) 892-6944
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 940288 (AK) |
|---|---|
| Case Management Agency | Taxonomy 251B00000X · Licence CMG (AK) |
| Community/Behavioral Health Agency | Taxonomy 251S00000X · Licence HCS (AK) |
Record details
| NPI number | 1639497415 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lynda Plettner — President / Administrator · (907) 892-6944 |
| NPI enumerated | May 4, 2010 |
| Last updated in NPPES | July 5, 2023 |
| Certification date | July 5, 2023 |
| Mailing address | Po Box 299136, Wasilla, AK 99629 |