Immaculated Concepcion

NPI #1184111395 in Anchorage, Alaska

Provider Information

NPI Number: 1184111395
Entity Type: Organization
Organization Name: Immaculated Concepcion
Primary Specialty: In Home Supportive Care
Enumeration Date: Apr 13, 2018
Last Updated: Apr 13, 2018

Practice Location

Address: 1836 LAURA CIR
City: Anchorage
State: Alaska
ZIP Code: 99508-3516
Phone: (907) 332-0158

Authorized Official

Name: JEANEPHERE LORENZANA
Title: OWNER/ADMINISTRATOR
Phone: (907) 903-7446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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