OrganizationActive
One Source Home Care Services LLC
NPI 1376175075 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Juneau, AK
Provider details
- NPI number
- 1376175075
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sabrina Cardinal, Chief Operating Officer/Partner(907) 500-3146
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
9205 James Blvd Apt 102
Juneau, AK 99801-9671
Phone: (907) 500-3146
Fax: (907) 308-6707
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 492
Crookston, MN 56716-0492
Registry dates
- Enumerated
- 2020-02-10
- Last updated
- 2020-09-11
- Certified
- 2020-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.