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Organization
SIRV INC
Active
Organization
SIRV INC
Active
Other names
HomeWell Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JAMES SPAULDING (PRESIDENT)
(503) 344-6044
Entity
Organization
Contact information
Practice address
12901 SE 97TH AVE STE 408, CLACKAMAS, OR 97015-7907
(503) 344-6044
(503) 344-6175
Mailing address
12901 SE 97TH AVE STE 408, CLACKAMAS, OR 97015-7907
(503) 344-6044
(503) 344-6175
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15-2263
OR
253Z00000X
In Home Supportive Care Agency
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Other
Enumeration date
07/28/2016
Last updated
05/08/2023
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