Organization
MONTANA CREEK ASSISTED LIVING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MCCLUSKEY (ADMINISTRATOR)
(907) 354-3441
Entity
Organization
Contact information
Practice address
19205 E FUTURE RD, TALKEETNA, AK 99676
(907) 354-3441
Mailing address
PO BOX 735, WILLOW, AK 99688-0735
(907) 354-3441
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
100437
AK
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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