Whalio Doctors

NPI 1003061987

Fir Hill Group Home LLC

Organisation Mental Illness Community Based Residential Treatment Facility Dallas, OR

Practice location

Address
1487 Main St, Dallas, OR 97338-2520
Phone
(503) 623-4230
Fax
(503) 623-4230

Authorised official

Name
Pamela a Hitchcock
Title
Administrator
Phone
(503) 623-4230

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence 508233 (OR)

Registry record

NPI
1003061987
Entity type
Organization
NPI issued
19 Nov 2008
Record last updated
19 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.