| NPI | 1326364647 |
|---|---|
| Doing Business As | EAGLE CREST |
| Entity Type | Organization |
| Authorized Contact | BELINDA BALDWIN Executive Director 907-688-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: AK 959821) |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: AK 959821) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AK 959821) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: AK 959821) | |
| 251S00000X (Licence: AK 959821) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2014-02-15 |