Organization
BIRCHTREE RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL ANDERSON WHITNEY (ADMINISTRATOR)
(907) 745-4423
Entity
Organization
Contact information
Practice address
1220 N WINDING BROOK LOOP, PALMER, AK 99645
(907) 745-4423
Mailing address
PO BOX 472, PALMER, AK 99645-0472
(907) 745-4423
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
101216
AK
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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