NPI 1073150074
Clair's II Adult Foster Home LLC
Practice location
- Address
- 63249 Everest Rd, Coos Bay, OR 97420-7238
- Phone
- (541) 269-7955
- Fax
- (541) 269-7955
Authorised official
- Name
- Timothy James Boysun
- Title
- Ppo
- Phone
- (541) 269-7955
Registered specialties (5)
Adult Care Home Facility
Primary
Home Health Aide
Nurse's Aide
Respite Care
Prevention Professional
Registry record
- NPI
- 1073150074
- Entity type
- Organization
- NPI issued
- 9 Dec 2019
- Record last updated
- 9 Dec 2019
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.