Jason Tyrell
Jason Tyrell is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Anchorage, Alaska. Practices as a sole proprietor. Licensed in Alaska.
- Licensed in
- AK
- In the registry since
- 2023
Practice location Address checks out
5731 Radcliff Dr # 1Anchorage, AK 99504-3019
Phone: (907) 339-4859
Fax: (907) 331-0463
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 101559 (AK) |
|---|
Record details
| NPI number | 1275317133 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 22, 2023 |
| Last updated in NPPES | August 22, 2023 |
| Certification date | August 22, 2023 |
| Mailing address | 3844 Helvetia Dr, Anchorage, AK 99508-5016 |
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