MR. GERALD JOHNSON
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Active
Individual
NPI: 1609443217
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | Yes | - |
Frequently Asked Questions
NPI 1609443217 is the National Provider Identifier for MR. GERALD JOHNSON, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Wasilla, AK. This NPI was enumerated on June 10, 2021.
MR. GERALD JOHNSON practices at 4092 W MARBLE WAY, Wasilla, AK 99654.
Quick Facts
- NPI
- 1609443217
- Type
- Individual
- Enumerated
- Jun 10, 2021
- Last Updated
- Oct 15, 2025
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