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Organization
JGL ENTERPRISES, INC.
Active
Organization
JGL ENTERPRISES, INC.
Active
Other names
Regency Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R MYERS CEBS (PRESIDENT)
(503) 616-0460
Entity
Organization
Contact information
Practice address
15115 SW SEQUOIA PKWY STE 170, PORTLAND, OR 97224-7156
(503) 616-0460
Mailing address
19965 SW 58TH TER, TUALATIN, OR 97062-6844
(503) 616-0460
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
152232
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137165
—
OR
Enumeration date
07/11/2014
Last updated
07/11/2014
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