Organization
LIFE ENRICHMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CHARLES JACKS B.A (OWNER/CARE COORDINATOR)
(907) 830-1455
Entity
Organization
Contact information
Practice address
8330 ARLENE ST, ANCHORAGE, AK 99502-4615
(907) 830-1455
(907) 258-0444
Mailing address
8330 ARLENE ST, ANCHORAGE, AK 99502-4615
(907) 830-1455
(907) 258-0444
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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