Organization
FULANI ALH
Active
Other names
Fulani ALH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOMODOU JALLOW (ADMINISTRATOR)
(907) 205-0394
Entity
Organization
Contact information
Practice address
2591 LYVONA LN, ANCHORAGE, AK 99502-5452
(190) 720-5039
Mailing address
2591 LYVONA LN, ANCHORAGE, AK 99502-5452
(190) 720-5039
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
100880
AK
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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