NPI 1679908628
History Makers, INC.
Practice location
- Address
- 220 Cinbar Dr, Roseburg, OR 97471-9385
- Phone
- (541) 229-5263
- Fax
- (541) 229-5265
Authorised official
- Name
- Carol Frances Brooker-Gardner
- Title
- Administrator
- Phone
- (541) 229-5263
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1679908628
- Entity type
- Organization
- NPI issued
- 10 Sep 2013
- Record last updated
- 10 Sep 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.