Organization
DE BAND GLOBAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAPHA ANDREW LAWAL (OWNER)
(907) 313-9278
Entity
Organization
Contact information
Practice address
7121 TRAVIS CIR, ANCHORAGE, AK 99507-2573
(907) 313-9278
Mailing address
PO BOX 242472, ANCHORAGE, AK 99524-2472
(907) 313-9278
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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