Organization
ASANTE COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICK OWINO JUMA (ADMINISTRATOR)
(917) 822-1687
Entity
Organization
Contact information
Practice address
1017 27TH AVE APT 3, FAIRBANKS, AK 99701-6900
(917) 822-1687
Mailing address
1017 27TH AVE APT 3, FAIRBANKS, AK 99701-6900
(917) 822-1687
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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