NPI 1326364647

Eagle Crest Alh LLC

Organisation Respite Care Chugiak, AK

Practice location

Address: 22626 Chamber Ln, Chugiak, AK 99567-6155
Phone: (907) 688-0123
Fax: (907) 688-0123
Mailing address: 22306 Shadowy Spruce Dr, Chugiak, AK 99567-5452

Authorised official

Name: Belinda Baldwin
Title: Executive Director
Phone: (907) 688-0123

Registered specialties (5)

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X Licence 959821 (AK)

Other Respite Care providers in Alaska →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X Licence 959821 (AK)

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence 959821 (AK)

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Intellectual Disabilities Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 959821 (AK)

Other Intermediate Care Facility, Intellectual Disabilities providers in Alaska →

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X Licence 959821 (AK)

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

Registry record

NPI: 1326364647
Entity type: Organization
NPI issued: 12 Apr 2010
Record last updated: 15 Feb 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.