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Organization
AT HOME SENIOR SOLUTIONS
Active
Organization
AT HOME SENIOR SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY BEAN (OWNER/DIRECTOR)
(541) 772-7070
Entity
Organization
Contact information
Practice address
700 E MAIN ST, SUITE 101, MEDFORD, OR 97504-7138
(541) 772-7070
(541) 779-0701
Mailing address
700 E MAIN ST, SUITE 101, MEDFORD, OR 97504-7138
(541) 772-7070
(541) 779-0701
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15-2226
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500670432
—
OR
Enumeration date
04/23/2015
Last updated
04/23/2015
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