Whalio Doctors

NPI 1467095836

Birchwood Assisted Living Home, LLC

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

Practice location

Address
19619 Crabtree St, Chugiak, AK 99567-5922
Phone
(907) 529-1088

Authorised official

Name
Yael Sarah Martin Hickok
Title
Owner
Phone
(907) 529-1088

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1467095836
Entity type
Organization
NPI issued
17 Oct 2019
Record last updated
17 Oct 2019

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.