BRENDAN MCCANN NPI 1609353614

NPI Information

BRENDAN MCCANN is a residential treatment facility, intellectual and/or developmental disabilities in Wasilla, AK. The provider is 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. BRENDAN MCCANN NPI is 1609353614. The provider is registered as an organization entity type.
The provider Is Doing Business As Home On Mulchatna.

The provider's business location address is:

1460 E MULCHATNA DR
WASILLA, AK
ZIP 99654-540
Phone: (907) 841-2448

The provider's authorized official is Brendan Mccann .
The authorized official title is Owner / Operator and has the following contact phone number (907) 841-2448.

The enumeration date for this NPI number is 7/23/2018 and was last updated on 7/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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