Individual provider · Type 1 NPI
Shellie Irene Hickok
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Anchorage, AK
Practice location
6074 Doncaster Dr
Anchorage, AK 99504-3234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
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.
Another provider at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Anchorage
- Jason TyrellIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Anchorage, AK NPI 1275317133
- Gary JonesIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Anchorage, AK NPI 1295282952
- Trishia Manzo, CCMIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Anchorage, AK NPI 1891226833
About NPI 1639412950
Shellie Irene Hickok's National Provider Identifier is 1639412950, issued on Apr 4, 2013. 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 Apr 8, 2013.