Provider Demographics
NPI:1073147815
Name:LIAHONA LLC
Entity Type:Organization
Organization Name:LIAHONA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-252-7570
Mailing Address - Street 1:35557 KENAI SPUR HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:SOLDOTNA
Mailing Address - State:AK
Mailing Address - Zip Code:99669-7625
Mailing Address - Country:US
Mailing Address - Phone:907-260-3251
Mailing Address - Fax:907-260-3240
Practice Address - Street 1:35557 KENAI SPUR HIGHWAY
Practice Address - Street 2:
Practice Address - City:SOLDOTNA
Practice Address - State:AK
Practice Address - Zip Code:99669-7625
Practice Address - Country:US
Practice Address - Phone:907-260-3251
Practice Address - Fax:907-260-3240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care