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Mam Jallow
Physical Disabilities Residential Treatment Facility in Anchorage, Alaska
NPI 1225368335

Mam Jallow is a Physical Disabilities Residential Treatment Facility based in Anchorage, AK. Mam Jallow practices in Anchorage, AK. The NPI Number for Mam Jallow is 1225368335 and holds a License No. 938082 (Alaska).

The current practice location address for Mam Jallow is 1493 Moss Creek Ave, Anchorage, AK and can be reached out via phone at 907-929-5620.

Location: 1493 Moss Creek Ave, Anchorage, AK, 99503-3744
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Provider Profile Details
NPI Number
1225368335
Provider Name
Mam Jallow
Credential
Provider Entity Type
Individual
Gender
Female
Address
1493 Moss Creek Ave, Anchorage, AK, 99503-3744
Phone Number
907-929-5620
Fax Number
Provider Enumeration Date
01/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1493 Moss Creek Ave
City
State
Zip
99507-3800
Phone Number
907-929-5620
Fax Number
person
Provider Business Mailing Address Details
Address
1493 Moss Creek Ave
City
State
Zip
99507-3800
Phone Number
907-929-5620
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
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Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
License No.
938082 (Alaska)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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