Mam Jallow
Mam Jallow is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Anchorage, Alaska. Practices as a sole proprietor. Licensed in Alaska.
- Licensed in
- AK
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
1493 Moss Creek AveAnchorage, AK 99507-3800
Phone: (907) 929-5620
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Specialties & licences
| Physical Disabilities Residential Treatment Facility (primary) | Taxonomy 320700000X |
|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X · Licence 938082 (AK) |
Record details
| NPI number | 1225368335 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 12, 2010 |
| Last updated in NPPES | February 7, 2018 |
| Mailing address | 1010 W 29th Pl, Anchorage, AK 99503-3744 |
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