NPI 1710468624

Fulani Alh

Organisation Custodial Care Facility Anchorage, AK

Practice location

Address: 2591 Lyvona Ln, Anchorage, AK 99502-5452
Phone: (190) 720-5039

Authorised official

Name: Momodou Jallow
Title: Administrator
Phone: (907) 205-0394

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 100880 (AK)

Other Custodial Care Facility providers in Alaska →

Registry record

NPI: 1710468624
Entity type: Organization
NPI issued: 28 Aug 2018
Record last updated: 28 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.