NPI 1376175075
One Source Home Care Services LLC
Practice location
- Address
- 9205 James Blvd APT 102, Juneau, AK 99801-9671
- Phone
- (907) 500-3146
- Fax
- (907) 308-6707
- Mailing address
- PO Box 492, Crookston, MN 56716-0492
Authorised official
- Name
- Sabrina Sue Cardinal
- Title
- Chief Operating Officer/Partner
- Phone
- (907) 500-3146
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1376175075
- Entity type
- Organization
- NPI issued
- 10 Feb 2020
- Record last updated
- 11 Sep 2020
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.