NPI 1265854186

Fancy Moose Anchorage Alh

Organisation Physical Disabilities Residential Treatment Facility Anchorage, AK

Practice location

Address: 705 W 47th Ave, Anchorage, AK 99503-7111
Phone: (907) 699-8581

Authorised official

Name: Matthew Alan Dobbs
Title: Administrator
Phone: (907) 699-8581

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 101034 (AK)

Other Residential Treatment Facility, Physical Disabilities providers in Alaska →

Registry record

NPI: 1265854186
Entity type: Organization
NPI issued: 12 Jan 2014
Record last updated: 12 Jan 2014

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.