Healthcare Provider Details

I. General information

NPI: 1326973843
Provider Name (Legal Business Name): AMFAAL ASSISTED LIVING HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6634 WHISPERING LOOP
ANCHORAGE AK
99504-4878
US

IV. Provider business mailing address

6634 WHISPERING LOOP UNIT B
ANCHORAGE AK
99504-4878
US

V. Phone/Fax

Practice location:
  • Phone: 907-330-9895
  • Fax:
Mailing address:
  • Phone: 907-330-9895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: MRS. AWA MARENAH JARJUSEY
Title or Position: ADMINISTRATOR
Credential: RB,BSN
Phone: 907-330-9895