Organization
MCKENZIE ASSISTED LIVING
Active
Organization
MCKENZIE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANNON L MCKENZIE (ADMINISTRATOR)
(907) 336-0080
Entity
Organization
Contact information
Practice address
8812 HAMLET CIRCLE, 8812 HAMLET CIRCLE, ANCHORAGE, AK 99502
(907) 336-0080
Mailing address
8812 HAMLET CIR, 8812 HAMLET CIRCLE, ANCHORAGE, AK 99502-5551
(907) 336-0080
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
100249
AK
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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