# ELDERLY AND DISABLED SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Restoration Home Jubilant AFH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447007752
- **Authorized official:** LARRY MICHAEL MCPHEE (OWNER/ PROVIDER)
- **Authorized official phone:** (541) 261-1991

## Contact information

- **Practice address:** 2021 JUBILANT AVE, MEDFORD, OR 97504-4755
- **Practice address phone:** (541) 500-1688
- **Mailing address:** 3126 STATE ST STE 100, MEDFORD, OR 97504-8665
- **Mailing address phone:** (541) 261-1991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2024
- **Last updated:** 05/03/2024