Whalio Doctors

NPI 1376175075

One Source Home Care Services LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Juneau, AK

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
Residential Treatment Facilities Taxonomy 320900000X

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.