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

TaxonomyCodeLicense
Physical Disabilities Residential Treatment Facility Primary 320700000X101027 (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.