NPI 1184941866

Colony Manor Hc

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Palmer, AK

Practice location

Address: 6801 Weswood Dr, Palmer, AK 99645
Phone: (907) 373-1880
Fax: (907) 373-1820
Mailing address: PO Box 870469, Wasilla, AK 99687

Authorised official

Name: Nathan Dahl
Title: Administrator
Phone: (907) 373-1880

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 000196 (AK)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Alaska →

Registry record

NPI: 1184941866
Entity type: Organization
NPI issued: 21 Apr 2010
Record last updated: 21 Apr 2010

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.