institution
Brendan Mccann
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Wasilla, Alaska
NPI 1609353614

Brendan Mccann is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Wasilla, AK. Brendan Mccann practices in Wasilla, AK. The NPI Number for Brendan Mccann is 1609353614 and holds a License No. 100393 (Alaska).

The current practice location address for Brendan Mccann is 1460 E Mulchatna Dr, Wasilla, AK and can be reached out via phone at 907-841-2448. You can also correspond with Brendan Mccann through the mailing address at 1460 E MULCHATNA DR, WASILLA, AK - 99654-3540 (mailing address contact number: 907-841-2448).

Location: 1460 E Mulchatna Dr, Wasilla, AK, 99654-3540
institution
Provider Profile Details
NPI Number
1609353614
Provider Name
Brendan Mccann
Credential
Provider Entity Type
Organization
Address
1460 E Mulchatna Dr, Wasilla, AK, 99654-3540
Phone Number
907-841-2448
Fax Number
Provider Enumeration Date
07/23/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 AK
institution
Provider Business Practice Location Address Details
Address
1460 E Mulchatna Dr
City
State
Zip
99654-3540
Phone Number
907-841-2448
Fax Number
person
Provider Business Mailing Address Details
Address
1460 E Mulchatna Dr
City
State
Zip
99654-3540
Phone Number
907-841-2448
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
100393 (Alaska)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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