NPI 1225368335

Mam Jallow

Practitioner Physical Disabilities Residential Treatment Facility Anchorage, AK

Practice location

Address: 1493 Moss Creek Ave, Anchorage, AK 99507-3800
Phone: (907) 929-5620
Mailing address: 1010 W 29th Pl, Anchorage, AK 99503-3744

Registered specialties (2)

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Alaska →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence 938082 (AK)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Alaska →

Registry record

NPI: 1225368335
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2010
Record last updated: 7 Feb 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.