NPI 1700143211

Shangri'La Ranch

Organisation Developmentally Disabled Services Day Training Agency Fairbanks, AK

Practice location

Address: 782 Adventure Rd, Fairbanks, AK 99712-3330
Phone: (907) 687-7775
Mailing address: PO Box 56776, North Pole, AK 99705-1776

Authorised official

Name: Karma Sparks Brown
Title: Owner/Operator
Phone: (907) 687-7775

Registered specialties (2)

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Alaska →

In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

Other In Home Supportive Care providers in Alaska →

Registry record

NPI: 1700143211
Entity type: Organization
NPI issued: 20 Apr 2012
Record last updated: 20 Apr 2012

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.