Maniilaq Association in Kotzebue - Residential Treatment Facility, Emotionally Disturbed Children
Maniilaq Association - NPI 1811199169
Maniilaq Association is a Residential Treatment Facility, Emotionally Disturbed Children in Kotzebue, Alaska. Maniilaq Association practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Maniilaq Association is 1811199169. The last update date is 2020-08-22.
Maniilaq Association's current location address is 572 Friends Way, Kotzebue, Alaska. You can contact this provider via phone number 9074427582. The mailing address for Maniilaq Association is 572 Friends Way, Kotzebue, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maniilaq Association |
|---|---|
| Address | 572 Friends Way, Kotzebue, Alaska |
| Phone Number | 9074427582 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM CO |
|---|---|
| Authorized Official Name | Sours Denise Karen |
| Telephone Number | 9074427582 |
NPI Number Detail
| NPI Number | 1811199169 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 572 Friends Way |
|---|---|
| City | Kotzebue |
| State | Alaska (AK) |
| Post Code | 99752 |
| Phone Number | 9074427582 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 400278 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BR0023 | AK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Maniilaq Association by the Centers for Medicare & Medicaid Services?
The Maniilaq Association has been assigned the NPI (National Provider Identifier) 1811199169. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Maniilaq Association's facilities are geographically located?
The facilities of Maniilaq Association are physically situated at the following location: 572 Friends Way, Kotzebue, AK, 99752.
What is the Maniilaq Association's area of specialization and corresponding taxonomy classification?
The Maniilaq Association's specialty field is Residential Treatment Facility, Emotionally Disturbed Children, and it falls under the taxonomy code 322D00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1811199169 to Maniilaq Association?
The Centers for Medicare & Medicaid Services assigned the 1811199169 to Maniilaq Association on 2007-05-31.
As of what date were the details pertaining to Maniilaq Association last refreshed?
The information related to the Maniilaq Association, including its address, specialty, and other relevant details, was last updated on 2020-08-22.