VIRGINIA N WODKOWSKI

WILLOW, AK
NPI1770606030
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
(Licence: AK  RL2570)
Additional Taxonomies311Z00000X Custodial Care Facility
(Licence: AK  RL2570)
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
-- VIRGINIA N WODKOWSKI
24572 W LUCKY SHOT TRAIL
WILLOW, AK 99688
Phone number: 907-495-6842
Mailing Address
-- VIRGINIA N WODKOWSKI
PO BOX 557
WILLOW, AK 99688-0557
Phone number: 907-495-6842