Organization
FAMACARE LLC
Active
Other names
FamaCARE Homes
Organization subpart
No
Provider details
NPI number
Authorized official
MODOU MANNEH (OWNER)
(907) 727-3600
Entity
Organization
Contact information
Practice address
10979 RETREAT CIR, ANCHORAGE, AK 99515-2449
(907) 727-3600
(907) 222-5427
Mailing address
10979 RETREAT CIR, ANCHORAGE, AK 99515-2449
(907) 727-3600
(907) 222-5427
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
100912
AK
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
101061
AK
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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