WOLVERINE ACADEMY, LLC
Residential Treatment Facilities at Clark Rd, Palmer, AK

License number
Alaska 942851
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MRS. KELLY ANN BARRETT-GODWIN
Title: OWNER/DESIGNEE
Phone: (907) 746-3442
Address
Address
15700 E Clark Rd, Palmer, AK 99645
National Provider ID: 1881993749
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Wolverine Academy LLC

15700 E Clark Rd, Palmer, AK 99645

Industry:
Elementary/Secondary School
Doing business as:
Wolverine Academy
Registration:
Apr 28, 2010
State ID:
128317
Business type:
Limited Liability Company
Expiration:
Perpetual
Member, Managers:
Kelly Barrett-Godwin (Member, Manager, Owner, Principal),Scott Godwin (Member, Manager)
Agent:
Kelly Ann Barrett-Godwin,15700 E Clark Rd, Palmer, AK 99645 (Mailing)

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