Provider Demographics
NPI:1851792915
Name:HEALTHY FAMILIES LLC
Entity Type:Organization
Organization Name:HEALTHY FAMILIES LLC
Other - Org Name:ALASKA HEALTH QUEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-277-3005
Mailing Address - Street 1:4138 BRANTLEY PL
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5319
Mailing Address - Country:US
Mailing Address - Phone:907-563-3663
Mailing Address - Fax:
Practice Address - Street 1:4138 BRANTLEY PL
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5319
Practice Address - Country:US
Practice Address - Phone:907-563-3663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy