Blueberry Lodge B&b

NPI #1013135649 in Juneau, Alaska

Provider Information

NPI Number: 1013135649
Entity Type: Organization
Organization Name: Blueberry Lodge B&b
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 20, 2007
Last Updated: Jun 12, 2008

Practice Location

Address: 9436 N DOUGLAS HWY
City: Juneau
State: Alaska
ZIP Code: 99801-7649
Phone: (907) 463-5886

Authorized Official

Name: MRS. JUDY FAY URQUHART
Title: ADMINISTRATOR
Phone: (907) 463-5886

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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