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Organization

JOSHUA HOUSE, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY HENDRICKSON (ADMINISTRATOR)
(907) 357-5413
Entity
Organization

Contact information

Practice address
2180 S FOOTHILLS BLVD, WASILLA, AK 99623-9509
(907) 357-5413
(907) 357-5414
Mailing address
699 W CHARLOTTES CIR, WASILLA, AK 99654-2257
(907) 357-5413
(907) 357-5414

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
101158
AK

Other

Enumeration date
09/22/2016
Last updated
09/22/2016
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