Organization
BLUEBERRY LODGE B&B
Active
Other names
Blueberry Lodge Assisted Living Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY FAY URQUHART (ADMINISTRATOR)
(907) 463-5886
Entity
Organization
Contact information
Practice address
9436 N DOUGLAS HWY, JUNEAU, AK 99801-7649
(907) 463-5886
(907) 463-5886
Mailing address
9436 N DOUGLAS HWY, JUNEAU, AK 99801-7649
(907) 463-5886
(907) 463-5886
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
100284
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HC5192
—
AK
Enumeration date
04/20/2007
Last updated
06/12/2008
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