Full Life LLP

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

FULL LIFE LLP

Practice address

12309 Gara Dr
Kodiak, AK 99615-9317

Phone

(907) 487-2181

NPI assigned

Feb 7, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Justin Brent Wood

Title

Program Administrator

Phone

(907) 539-5108

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1588296461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 GARA DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996159317",
            "telephone_number": "907-539-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 GARA DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996159317",
            "telephone_number": "907-487-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL LIFE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "907-539-5108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly O Francis, RN, BSN
• Mary Jean Francisco
• Jeffery Frazier, DPT
• Doug Arnold Frick, PHARM. D
• Brittney Elizabeth Fried, PT
• Susan B Gaines, LCDC
• Jessica Garson
• Angela M Garves, RDH
• Gordon John Gatchell
• Tasha Gentile

• Day Training/Habilitation Specialist in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Day Training/Habilitation Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.