Jason Tyrell

NPI #1275317133 in Anchorage, Alaska

Provider Information

NPI Number: 1275317133
Entity Type: Individual
Name: Jason Tyrell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 22, 2023
Last Updated: Aug 22, 2023

Practice Location

Address: 5731 RADCLIFF DR # 1
City: Anchorage
State: Alaska
ZIP Code: 99504-3019
Phone: (907) 339-4859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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