| Orchard Assisted Living | |
|
400 W 76th Ave #105 Anchorage AK 99518-2551 | |
| (907) 306-4173 | |
| Not Available |
| Full Name | Orchard Assisted Living |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 400 W 76th Ave, Anchorage, Alaska |
| Authorized Official Name and Position | Jessica Tiara Fulton (OWNER, ADMINISTRATOR) |
| Authorized Official Contact | 9073064173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchard Assisted Living 400 W 76th Ave #105 Anchorage AK 99518-2551 Ph: (907) 306-4173 | Orchard Assisted Living 400 W 76th Ave #105 Anchorage AK 99518-2551 Ph: (907) 306-4173 |
| NPI Number | 1811423486 |
|---|---|
| Provider Enumeration Date | 05/02/2017 |
| Last Update Date | 05/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811423486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 101114 (Alaska) | Primary |
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