Mrs. Shellie Irene Hickok - Anchorage, AK

Mrs. Shellie Irene Hickok

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Anchorage, Alaska

NPI 1639412950

Shellie Irene Hickok is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Anchorage, AK. Shellie Irene Hickok practices in Anchorage, AK. The NPI Number for Shellie Irene Hickok is 1639412950 and holds a License No. (Alaska).

The current practice location address for Shellie Irene Hickok is 6074 Doncaster Dr, Anchorage, AK and can be reached out via phone at 907-274-0060.

Location: 6074 Doncaster Dr, Anchorage, AK, 99504-3234

NPI Number

1639412950

Provider Name

Shellie Irene Hickok

Credential

Provider Entity Type

Individual

Gender

Female

Address

6074 Doncaster Dr, Anchorage, AK, 99504-3234

Phone Number

907-274-0060

Fax Number

Provider Enumeration Date

04/04/2013

Last Update Date

03/09/2024

Address

6074 Doncaster Dr

City

Anchorage

State

Alaska

Zip

99504-3234

Phone Number

907-274-0060

Fax Number

Address

6074 Doncaster Dr

City

Anchorage

State

Alaska

Zip

99504-3234

Phone Number

907-274-0060

Fax Number

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Speciality

Taxonomy

320900000X

License No.

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Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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