Pioneer Guest Home Ii, Inc

NPI 1235577115 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1235577115
Enumeration Date 06/12/2013
Last Updated 06/12/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name RANDALL PERRY RANDALL
Position LICENSED ADMINISTRATOR
Phone (541) 426-4222
Fax (541) 426-6550
Practice Location
101 E MAIN ST
ENTERPRISE OR, 97828-1381, US
Phone (541) 426-4222
Fax (541) 426-6550
Business Location
PO BOX 326
ENTERPRISE OR, 97828-0326, US
Phone (541) 426-4222
Fax (541) 426-6550
Toxanomy
Taxonomy Code 320800000X
License State Oregon
License Number 300024
Remove 1235577115 NPI Number
 

According to our database, Pioneer Guest Home Ii, Inc NPI is 1235577115, taxonomy code is 320800000X and license number is 300024, license state is located at Oregon. Pioneer Guest Home Ii, Inc physically located at 101 E Main St, Enterprise OR, 97828-1381. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1235577115 NPI number is provided on an as is basis without warranty of any kind. 1235577115 is maintained by the National Plan & Provider Enumeration System. The contents of Pioneer Guest Home Ii, Inc are for informational purposes only.