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Organization
SOUTHERN OREGON IN-HOME CARE, LLC.
Active
Organization
SOUTHERN OREGON IN-HOME CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLAIR (ADMINISTRATOR)
(541) 236-4247
Entity
Organization
Contact information
Practice address
980 SW 6TH ST STE 10, GRANTS PASS, OR 97526-2910
(541) 236-4247
Mailing address
980 SW 6TH ST, SUITE 22, GRANTS PASS, OR 97526-2910
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
527896
—
OR
Enumeration date
02/26/2014
Last updated
03/12/2019
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