Individual provider · Type 1 NPI
Colleen McNulty
Physical Disabilities Residential Treatment Facility · Kenai, AK
NPI number
1326460387
Active
Practice location
701 North Forest St.
Kenai, AK 99611
Fax (907) 335-2051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 101027 (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.
About NPI 1326460387
Colleen McNulty's National Provider Identifier is 1326460387, issued on Jan 10, 2014. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Kenai, AK. The record was last updated on Jan 10, 2014.