Organization Name: | WEST OREGON HOME CARE |
NPI Number: | 1003878430 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD A FREEMAN (CEO) |
Mailing Address: | 454 Fir Ave Reedsport |
State: | OR US |
Postal Code: | 974671427 |
Phone Number: | 5412711941 |
Fax Number: | 5412713087 |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 131386 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |