NPI 1053852061
Birchtree Residential Care LLC
Practice location
- Address
- 1220 N Winding Brook Loop, Palmer, AK 99645
- Phone
- (907) 745-4423
- Mailing address
- PO Box 472, Palmer, AK 99645-0472
Authorised official
- Name
- Russell Anderson Whitney
- Title
- Administrator
- Phone
- (907) 745-4423
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1053852061
- Entity type
- Organization
- NPI issued
- 10 Mar 2017
- Record last updated
- 10 Mar 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.