Provider Demographics
NPI:1598378093
Name:DENALI SERVICE CONNECT DBA JAMON MORGAN LLC
Entity Type:Organization
Organization Name:DENALI SERVICE CONNECT DBA JAMON MORGAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO / PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-952-0955
Mailing Address - Street 1:4119 MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-1546
Mailing Address - Country:US
Mailing Address - Phone:907-952-0955
Mailing Address - Fax:
Practice Address - Street 1:4119 MOUNTAIN VIEW DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-1546
Practice Address - Country:US
Practice Address - Phone:907-952-0955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-25
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management