Creekside View Home LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Anchorage, AK. Organization (NPI-2).
NPI number1104723014
StatusActive
Last updated in NPPESOct 23, 2026
Details
- NPI
- 1104723014
- Entity type
- Organization (NPI-2)
- Legal business name
- Creekside View Home LLC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2026
- Certification date
- Oct 23, 2026
- Last updated
- Oct 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
2730 E 48th AveAnchorage, AK 99507-1116
Phone 907-830-8794
Mailing address
2966 Bass StAnchorage, AK 99507-2872
Phone 907-830-8794
Authorized official
Joyce Dixon
Administrator
9078308794
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