NPI 1194588913
Asante Community Services, LLC
Practice location
- Address
- 1017 27th Ave APT 3, Fairbanks, AK 99701-6900
- Phone
- (917) 822-1687
Authorised official
- Name
- Erick Owino Juma
- Title
- Administrator
- Phone
- (917) 822-1687
Registered specialties (3)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Developmentally Disabled Services Day Training Agency
In Home Supportive Care Agency
Registry record
- NPI
- 1194588913
- Entity type
- Organization
- NPI issued
- 5 Feb 2024
- Record last updated
- 5 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.