OrganizationActive
Fancy Moose Anchorage Alh
NPI 1265854186 · Physical Disabilities Residential Treatment Facility · Anchorage, AK
Provider details
- NPI number
- 1265854186
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Matthew Dobbs, Administrator(907) 699-8581
- License
- 101034 (AK)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
705 W 47th Ave
Anchorage, AK 99503-7111
Phone: (907) 699-8581
Approximate (ZIP-level) locationGet directions
Mailing address
705 W 47th Ave
Anchorage, AK 99503-7111
Registry dates
- Enumerated
- 2014-01-12
- Last updated
- 2014-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.