Mrs. Shellie Irene Hickok
Mrs. Shellie Irene Hickok is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Anchorage, Alaska. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
6074 Doncaster DrAnchorage, AK 99504-3234
Phone: (907) 274-0060
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1639412950 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2013 |
| Last updated in NPPES | April 8, 2013 |
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