Fancy Moose Anchorage Alh
Fancy Moose Anchorage Alh is a Physical Disabilities Residential Treatment Facility in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2014.
- Licensed in
- AK
- In the registry since
- 2014
Practice location Address checks out
705 W 47th AveAnchorage, AK 99503-7111
Phone: (907) 699-8581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Disabilities Residential Treatment Facility (primary) | Taxonomy 320700000X · Licence 101034 (AK) |
|---|
Record details
| NPI number | 1265854186 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Dobbs — Administrator · (907) 699-8581 |
| NPI enumerated | January 12, 2014 |
| Last updated in NPPES | January 12, 2014 |
| Mailing address | 705 W 47th Ave, Anchorage, AK 99503-7111 |
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