Individual
GARY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6700 ROCKRIDGE DR, ANCHORAGE, AK 99516-1898
(907) 764-8331
(907) 249-7811
Mailing address
8901 LAKEHURST DR, SIDE A, ANCHORAGE, AK 99502-5161
(907) 764-8331
(907) 249-7811
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
100619
AK
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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