The Salvation Army Booth Memorial Residential Childcare

NPI 1265656730 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1265656730
Enumeration Date 04/13/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ADELANE M ADELANE
Position DIVISIONAL FINANCE DIRECTOR
Phone (907) 279-0522
Fax
Practice Location
3600 E 20TH AVE
ANCHORAGE AK, 99508-3416, US
Phone (907) 279-0522
Fax
Business Location
143 E 9TH AVE
ANCHORAGE AK, 99501-3618, US
Phone (907) 339-3406
Fax (907) 276-2611
Toxanomy
Taxonomy Code 322D00000X
License State Alaska
License Number 11806
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According to our database, The Salvation Army Booth Memorial Residential Childcare NPI is 1265656730, taxonomy code is 322D00000X and license number is 11806, license state is located at Alaska. The Salvation Army Booth Memorial Residential Childcare physically located at 3600 E 20th Ave, Anchorage AK, 99508-3416. NPI Number 1033115704 has the healthcare provider type.

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1265656730 NPI number is provided on an as is basis without warranty of any kind. 1265656730 is maintained by the National Plan & Provider Enumeration System. The contents of The Salvation Army Booth Memorial Residential Childcare are for informational purposes only.