Organization
THE HICKOK ALH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLIE IRENE HICKOK (ADMINISTRATOR)
(907) 274-0060
Entity
Organization
Contact information
Practice address
6074 DONCASTER DR, ANCHORAGE, AK 99504-3234
(907) 274-0060
Mailing address
6074 DONCASTER DR, ANCHORAGE, AK 99504-3234
(907) 274-0060
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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