IndividualActive
Tina Mccluskey
NPI 1124544523 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Talkeetna, AK
Provider details
- NPI number
- 1124544523
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
19205 E Future Rd
Talkeetna, AK 99676
Phone: (907) 354-3441
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 735
Willow, AK 99688-0735
Registry dates
- Enumerated
- 2017-08-17
- Last updated
- 2017-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.