Whalio Doctors

NPI 1255867263

Montana Creek Assisted Living Home

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

Practice location

Address
19205 E Future Rd, Talkeetna, AK 99676
Phone
(907) 354-3441
Mailing address
PO Box 735, Willow, AK 99688-0735

Authorised official

Name
Tina McCluskey
Title
Administrator
Phone
(907) 354-3441

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 100437 (AK)

Registry record

NPI
1255867263
Entity type
Organization
NPI issued
11 May 2017
Record last updated
11 May 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.