Provider Demographics
NPI:1316103302
Name:DONNA V. SAWYER
Entity type:Organization
Organization Name:DONNA V. SAWYER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:907-242-6016
Mailing Address - Street 1:10015 GOODNEWS CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-2331
Mailing Address - Country:US
Mailing Address - Phone:907-242-6016
Mailing Address - Fax:
Practice Address - Street 1:10015 GOODNEWS CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-2331
Practice Address - Country:US
Practice Address - Phone:907-242-6016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK100676310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility