Birchwood Assisted Living Home, LLC

NPI #1467095836 in Chugiak, Alaska

Provider Information

NPI Number: 1467095836
Entity Type: Organization
Organization Name: Birchwood Assisted Living Home, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 17, 2019
Last Updated: Oct 17, 2019

Practice Location

Address: 19619 CRABTREE ST
City: Chugiak
State: Alaska
ZIP Code: 99567-5922
Phone: (907) 529-1088

Authorized Official

Name: YAEL SARAH MARTIN HICKOK
Title: OWNER
Phone: (907) 529-1088

Specialties & Taxonomy Codes

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

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