Organization
BIRCHWOOD ASSISTED LIVING HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAEL SARAH MARTIN HICKOK (OWNER)
(907) 529-1088
Entity
Organization
Contact information
Practice address
19619 CRABTREE ST, CHUGIAK, AK 99567-5922
(907) 529-1088
Mailing address
19619 CRABTREE ST, CHUGIAK, AK 99567-5922
(907) 529-1088
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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