Gary Jones
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Anchorage, AK. Individual provider (NPI-1).
NPI number1295282952
StatusActive
Last updated in NPPESSep 9, 2016
Details
- NPI
- 1295282952
- Entity type
- Individual (NPI-1)
- Name
- Gary Jones
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 9, 2016
- Last updated
- Sep 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 100619 | AK | Yes |
Practice location
6700 Rockridge DrAnchorage, AK 99516-1898
Phone 907-764-8331 · Fax 907-249-7811
Mailing address
8901 Lakehurst DrSide A
Anchorage, AK 99502-5161
Phone 907-764-8331 · Fax 907-249-7811
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