# FORGET ME NOT FAMILY CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forget Me Not Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528761194
- **Authorized official:** PAMELA K SPETA (PRESIDENT)
- **Authorized official phone:** (541) 378-8115

## Contact information

- **Practice address:** 2028 NE AIRPORT RD, ROSEBURG, OR 97470-1422
- **Practice address phone:** (541) 378-8115
- **Mailing address:** 2028 NE AIRPORT RD, ROSEBURG, OR 97470-1422
- **Mailing address phone:** (541) 378-8115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2023
- **Last updated:** 03/23/2023