Colony Manor Hc

NPI #1184941866 in Palmer, Alaska

Provider Information

NPI Number: 1184941866
Entity Type: Organization
Organization Name: Colony Manor Hc
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 21, 2010
Last Updated: Apr 21, 2010

Practice Location

Address: 6801 WESWOOD DR
City: Palmer
State: Alaska
ZIP Code: 99645
Phone: (907) 373-1880

Authorized Official

Name: MR. NATHAN DAHL
Title: ADMINISTRATOR
Phone: (907) 373-1880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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