person
Jason Tyrell
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Anchorage, Alaska
NPI 1275317133

Jason Tyrell is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Anchorage, AK. Jason Tyrell practices in Anchorage, AK. The NPI Number for Jason Tyrell is 1275317133 and holds a License No. 101559 (Alaska).

The current practice location address for Jason Tyrell is 5731 Radcliff Dr # 1, Anchorage, AK and can be reached out via phone at 907-339-4859 and via fax at 907-331-0463.

Location: 5731 Radcliff Dr # 1, Anchorage, AK, 99508-5016
person
Provider Profile Details
NPI Number
1275317133
Provider Name
Jason Tyrell
Credential
Provider Entity Type
Individual
Gender
Male
Address
5731 Radcliff Dr # 1, Anchorage, AK, 99508-5016
Phone Number
907-339-4859
Fax Number
907-331-0463
Provider Enumeration Date
08/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5731 Radcliff Dr # 1
City
State
Zip
99504-3019
Phone Number
907-339-4859
Fax Number
907-331-0463
person
Provider Business Mailing Address Details
Address
5731 Radcliff Dr # 1
City
State
Zip
99504-3019
Phone Number
907-339-4859
Fax Number
907-331-0463
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
101559 (Alaska)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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