Organization · Type 2 NPI

Blueberry Lodge B&b

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Juneau, AK

NPI number 1013135649 Active

Practice location

9436 N Douglas Hwy
Juneau, AK 99801-7649

Fax (907) 463-5886

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X100284 (AK)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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.

About NPI 1013135649

Blueberry Lodge B&b's National Provider Identifier is 1013135649, issued on Apr 20, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Juneau, AK. The record was last updated on Jun 12, 2008.