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WOLVERINE ACADEMY, LLC
NPI 1881993749
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Palmer, AK

Active since March 17, 2011
15700 E CLARK RD, PALMER, AK 99645(907) 746-3442(907) 746-4847 Get Directions Write a Review

NPPES record last updated: March 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wolverine Academy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOLVERINE ACADEMY, LLC (NPI 1881993749) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Palmer, Alaska and active in the NPI registry since March 2011. The organization lists Kelly Ann Barrett-godwin, Owner/designee, as its authorized official.

NPPES Registry Identity

NPI1881993749
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameWOLVERINE ACADEMY, LLC
Location Address15700 E CLARK RDPalmer, AK 99645-8705
Mailing Address15700 E Clark RdPalmer, AK 99645-8705
Phone(907) 746-3442
Fax(907) 746-4847
Organization SubpartNo
Authorized OfficialKelly Ann Barrett-godwinOwner/designee · (907) 746-3442
Enumeration DateMarch 17, 2011
✔ NPI 1881993749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in AK · 942851
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
15700 E CLARK RD, Palmer, AK 99645
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wolverine Academy, LLC's NPI number?

The NPI number for Wolverine Academy, LLC is 1881993749. It was assigned to this organization in the NPPES registry on March 17, 2011.

Where is Wolverine Academy, LLC located?

Wolverine Academy, LLC is located at 15700 E Clark Rd, Palmer, AK 99645. The listed phone number is (907) 746-3442.

What is Wolverine Academy, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Wolverine Academy, LLC was last updated on March 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.