MRS. SHELLIE IRENE HICKOK NPI 1639412950

NPI Information

NPI: 1639412950
Provider Name: MRS. SHELLIE IRENE HICKOK
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
6074 DONCASTER DR
ANCHORAGE, AK
ZIP 99504
Phone: (907) 274-0060
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MRS. Shellie Irene Hickok is a community based residential treatment facility, intellectual and/or developmental disabilities in Anchorage, AK. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MRS. Shellie Irene Hickok NPI is 1639412950. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6074 DONCASTER DR
ANCHORAGE, AK
ZIP 99504-234
Phone: (907) 274-0060

The enumeration date for this NPI number is 4/4/2013 and was last updated on 4/8/2013.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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