Organization · Type 2 NPI

Fancy Moose Anchorage Alh

Physical Disabilities Residential Treatment Facility · Anchorage, AK

NPI number 1265854186 Active

Practice location

705 W 47th Ave
Anchorage, AK 99503-7111

Call (907) 699-8581 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Disabilities Residential Treatment Facility Primary 320700000X101034 (AK)

Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

2 other providers at this address

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About NPI 1265854186

Fancy Moose Anchorage Alh's National Provider Identifier is 1265854186, issued on Jan 12, 2014. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Anchorage, AK. The record was last updated on Jan 12, 2014.