MRS. SHELLIE HICKOK
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Active
Individual
NPI: 1639412950
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | Yes | - |
Frequently Asked Questions
NPI 1639412950 is the National Provider Identifier for MRS. SHELLIE HICKOK, a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider located in Anchorage, AK. This NPI was enumerated on April 4, 2013.
MRS. SHELLIE HICKOK practices at 6074 DONCASTER DR, Anchorage, AK 99504.
Quick Facts
- NPI
- 1639412950
- Type
- Individual
- Enumerated
- Apr 4, 2013
- Last Updated
- Apr 8, 2013
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