Organization · Type 2 NPI

Professional Care Service

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Anchorage, AK

NPI number 1508189945 Active

Practice location

1743 Minerva Way, Same
Anchorage, AK 99515-1490

Call (907) 346-4410 Map

Fax (907) 346-4410

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X928682 (AK)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1508189945

Professional Care Service's National Provider Identifier is 1508189945, issued on Mar 11, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Anchorage, AK. The record was last updated on Mar 11, 2010.