institution
One Source Home Care Services Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Juneau, Alaska
NPI 1376175075

One Source Home Care Services Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Crookston, AK. One Source Home Care Services Llc practices in Juneau, AK. The NPI Number for One Source Home Care Services Llc is 1376175075 and holds a License No. (Alaska).

The current practice location address for One Source Home Care Services Llc is 9205 James Blvd Apt 102, Juneau, AK and can be reached out via phone at 907-500-3146 and via fax at 907-308-6707.

Location: 9205 James Blvd Apt 102, Juneau, AK, 56716-0492
institution
Provider Profile Details
NPI Number
1376175075
Provider Name
One Source Home Care Services Llc
Credential
Provider Entity Type
Organization
Address
9205 James Blvd Apt 102, Juneau, AK, 56716-0492
Phone Number
907-500-3146
Fax Number
907-308-6707
Provider Enumeration Date
02/10/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
UNKNOWN 05 AK
institution
Provider Business Practice Location Address Details
Address
9205 James Blvd Apt 102
City
State
Zip
99801-9671
Phone Number
907-500-3146
Fax Number
907-308-6707
person
Provider Business Mailing Address Details
Address
9205 James Blvd Apt 102
City
State
Zip
99801-9671
Phone Number
907-500-3146
Fax Number
907-308-6707
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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