Montana Creek Assisted Living Home

NPI #1255867263 in Talkeetna, Alaska

Provider Information

NPI Number
1255867263
Entity Type
Organization
Organization Name
Montana Creek Assisted Living Home
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
May 11, 2017
Last Updated
May 11, 2017

Practice Location

Address
19205 E FUTURE RD
State
Alaska
ZIP Code
99676
Phone
(907) 354-3441

Authorized Official

Name
TINA MCCLUSKEY
Title
ADMINISTRATOR
Phone
(907) 354-3441

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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