Provider Demographics
NPI:1851663850
Name:LIFE FOCUS HEALTHSOURCE
Entity Type:Organization
Organization Name:LIFE FOCUS HEALTHSOURCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-424-0126
Mailing Address - Street 1:3725 E 43RD PL
Mailing Address - Street 2:APT.13
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5529
Mailing Address - Country:US
Mailing Address - Phone:337-424-0126
Mailing Address - Fax:
Practice Address - Street 1:3725 E 43RD PL
Practice Address - Street 2:APT.13
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5529
Practice Address - Country:US
Practice Address - Phone:337-424-0126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health