Organization
IN HIS IMAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY DELOACH (OWNER)
(907) 230-8707
Entity
Organization
Contact information
Practice address
2956 SHELDON JACKSON ST, ANCHORAGE, AK 99508-4470
(907) 230-8707
(907) 222-3832
Mailing address
2956 SHELDON JACKSON ST, ANCHORAGE, AK 99508-4470
(907) 230-8707
(907) 222-3832
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
101277
AK
Other
Enumeration date
01/26/2018
Last updated
11/19/2020
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