IndividualActive
Shellie Hickok
NPI 1639412950 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Anchorage, AK
Provider details
- NPI number
- 1639412950
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
6074 Doncaster Dr
Anchorage, AK 99504-3234
Registry dates
- Enumerated
- 2013-04-04
- Last updated
- 2013-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.