NPI 1447007752
Elderly and Disabled Services
Practice location
- Address
- 2021 Jubilant Ave, Medford, OR 97504-4755
- Phone
- (541) 500-1688
- Mailing address
- 3126 State St STE 100, Medford, OR 97504-8665
Authorised official
- Name
- Larry Michael McPhee
- Title
- Owner/ Provider
- Phone
- (541) 261-1991
Registered specialties
Assisted Living Facility (Behavioral Disturbances)
Primary
Registry record
- NPI
- 1447007752
- Entity type
- Organization
- NPI issued
- 3 May 2024
- Record last updated
- 3 May 2024
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.