Blueberry Lodge B&B in Juneau - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Blueberry Lodge B&B - NPI 1013135649
Blueberry Lodge B&B is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Juneau, Alaska. Blueberry Lodge B&B practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Blueberry Lodge B&B is 1013135649. The last update date is 2008-06-12.
Blueberry Lodge B&B's current location address is 9436 N Douglas Hwy, Juneau, Alaska. You can contact this provider via phone number 9074635886 and fax number 9074635886. The mailing address for Blueberry Lodge B&B is 9436 N Douglas Hwy, Juneau, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blueberry Lodge B&B |
|---|---|
| Address | 9436 N Douglas Hwy, Juneau, Alaska |
| Phone Number | 9074635886 |
| Fax Number | 9074635886 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Urquhart Fay Judy |
| Telephone Number | 9074635886 |
NPI Number Detail
| NPI Number | 1013135649 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
| Address | 9436 N Douglas Hwy |
|---|---|
| City | Juneau |
| State | Alaska (AK) |
| Post Code | 998017649 |
| Phone Number | 9074635886 |
| Fax Number | 9074635886 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 100284 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HC5192 | AK | -- |
Post Comment/ Review Below
What is the Blueberry Lodge B&B's 1013135649?
The Blueberry Lodge B&B's NPI (National Provider Identifier) Number is 1013135649. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Blueberry Lodge B&B?
The Blueberry Lodge B&B is physically situated at 9436 N Douglas Hwy, in the city of Juneau, state of AK, with the postal code 998017649.
What is the Blueberry Lodge B&B's specialty and taxonomy code?
The Blueberry Lodge B&B's specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
On what date was the 1013135649 assigned to Blueberry Lodge B&B?
The Blueberry Lodge B&B was issued its 1013135649 on 2007-04-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Blueberry Lodge B&B most recently updated or revised?
The information pertaining to Blueberry Lodge B&B, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-12.