Organization · Type 2 NPI
One Source Home Care Services LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Juneau, AK
Practice location
9205 James Blvd Apt 102
Juneau, AK 99801-9671
Fax (907) 308-6707
Mailing address
PO Box 492
Crookston, MN 56716-0492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1376175075
One Source Home Care Services LLC's National Provider Identifier is 1376175075, issued on Feb 10, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Juneau, AK. The record was last updated on Sep 11, 2020.