Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. VIKTOR I GOY
Active Sole ProprietorPhysical Disabilities Residential Treatment Facility · WASILLA, AK
Registration Details
- NPI Number
- 1437489473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2010 (16.270831105392 yrs)
- Last Updated
- Jan 13, 2010
- License
-
936863 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2935 N. CHURCH RDWASILLA, AK, 996874999Browse AK providers · Browse ZIP 99687
- Phone
- 9073736747
- Fax
- 9073733036
- Primary Specialty
-
Physical Disabilities Residential Treatment Facility
320700000X
Other Physical Disabilities Residential Treatment Facility Providers in WASILLA, AK
| Name | Credential | NPI |
|---|---|---|
| MS. BETTY JO COOLEY | L.P.N. | 1508014077 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.