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Organization
PACIFIC PREMIER CARE HOME LLC
Active
Organization
PACIFIC PREMIER CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER MUTHONI KAMAU RN (ADMINISTRATOR)
(978) 328-8632
Entity
Organization
Contact information
Practice address
260 44TH PL NE, SALEM, OR 97301-5163
(503) 339-7559
(503) 990-7059
Mailing address
260 44TH PL NE, SALEM, OR 97301-5163
(503) 362-8834
(503) 990-7059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/11/2023
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