NPI 1619215183

History Makers

Organisation In Home Supportive Care Agency Roseburg, OR

Practice location

Address: 220 Cinbar Dr, Roseburg, OR 97471-9385
Phone: (541) 229-5263
Fax: (541) 229-5265

Authorised official

Name: Mike Edward Gardner
Title: Co-Owner
Phone: (541) 229-5263

Registered specialties

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X Licence 15-2204 (OR)

Other In Home Supportive Care providers in Oregon →

Registry record

NPI: 1619215183
Entity type: Organization
NPI issued: 17 Jan 2013
Record last updated: 17 Jan 2013

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.