| NPI | 1609353614 |
|---|---|
| Doing Business As | HOME ON MULCHATNA |
| Entity Type | Organization |
| Authorized Contact | BRENDAN MCCANN Owner / Operator 907-841-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AK 100393) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |