Organization · NPI-2

Juskare Support Services, LLC

Assisted Living Facility · Austin, TX

NPI number1225312341

StatusActive

Last updated in NPPESOct 27, 2014

Details

NPI: 1225312341
Entity type: Organization (NPI-2)
Legal business name: Juskare Support Services, LLC
Organization subpart: No
Enumeration date: Oct 7, 2011
Last updated: Oct 27, 2014

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
310400000X	Assisted Living Facility	–	–	Yes
347C00000X	Private Vehicle	–	–
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–
322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	–	–
385H00000X	Respite Care	–	–
320800000X	Community Based Residential Treatment Facility, Mental Illness	–	–

Other names

Juskare Assisted Living (Doing Business As)

Practice location

4706 Hilldale Dr
Austin, TX 78723-6206

Phone 512-579-1216

Mailing address

4706 Hilldale Dr
Austin, TX 78723-6206

Authorized official

Felicia Dee
Director
5125791216

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