# BLUEBERRY LODGE B&B

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blueberry Lodge Assisted Living Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013135649
- **Authorized official:** MRS. JUDY FAY URQUHART (ADMINISTRATOR)
- **Authorized official phone:** (907) 463-5886

## Contact information

- **Practice address:** 9436 N DOUGLAS HWY, JUNEAU, AK 99801-7649
- **Practice address phone:** (907) 463-5886
- **Practice address fax:** (907) 463-5886
- **Mailing address:** 9436 N DOUGLAS HWY, JUNEAU, AK 99801-7649
- **Mailing address phone:** (907) 463-5886
- **Mailing address fax:** (907) 463-5886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 100284 | AK | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 06/12/2008