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NPI Code Detail

MEDICARE: ELDERLY AND DISABLED SERVICES

MEDICARE: ELDERLY AND DISABLED SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1323P00000XPsychiatric Residential Treatment Facility
2320800000XMental Illness Community Based Residential Treatment Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447845763
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELDERLY AND DISABLED SERVICES
Provider Business Mailing Address
First Line : 3126 STATE ST STE 100
Second Line :
City : MEDFORD
State : OR
Zip : 97504-8665
Country : US
Telephone Number : 458-225-9358
Fax Number : 541-631-3424
Provider Business Practice Location Address
First Line : 4439 HAMRICK RD
Second Line :
City : CENTRAL POINT
State : OR
Zip : 97502-2816
Country : US
Telephone Number : 541-261-1991
Fax Number : 541-631-3424
Authorized Official
Title or Position : PROVIDER
Name : LARRY MICHAEL MCPHEE
Credential :
Telephone Number : 541-261-1991
Provider Enumeration Date : 03/08/2021
Last Update Date : 12/16/2024

Similar Medicare Providers

1477409027 — AMBER MARIE ALBRIGHT
Practice Location Address:
4439 HAMRICK RD
CENTRAL POINT, OR
97502-2816
Practice Phone: 458-225-9358
Practice Fax:
1871047530 — ROGER T ESPLIN
Practice Location Address:
4439 HAMRICK RD
CENTRAL POINT, OR
97502-2816
Practice Phone: 458-225-9358
Practice Fax:
1639848971 — KELSIE BRIANNE FERGUSSON QMHA
Practice Location Address:
4439 HAMRICK RD
CENTRAL POINT, OR
97502-2816
Practice Phone: 541-727-7669
Practice Fax:
1215607882 — PAUL ANTHONY MCPHEE
Practice Location Address:
4439 HAMRICK RD
CENTRAL POINT, OR
97502-2816
Practice Phone: 541-727-7669
Practice Fax:
1891493086 — EVAUNA FRANKLIN
Practice Location Address:
4439 HAMRICK RD
CENTRAL POINT, OR
97502-2816
Practice Phone: 541-727-7669
Practice Fax:
1275222887 — JENNIFER KAHANANUI
Practice Location Address:
4439 HAMRICK RD
CENTRAL POINT, OR
97502-2816
Practice Phone: 541-727-7669
Practice Fax:

Directions to “ELDERLY AND DISABLED SERVICES ” Practice Location

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