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Adult Care Home

Phoenix, Oregon

Provider NPI: 1528126992

Provider Information:

Practice Location:
701 1ST ST  PHOENIX, OR 97535 US
Tel: 541-535-6308  Fax: --

Business Mailing Address:
Tel: --  Fax: --


PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home

Other Provider Identifiers:

ADULT FOSTER HOME1513-570395-0705-COMOR01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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