Organization
FIR HILL GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA A HITCHCOCK (ADMINISTRATOR)
(503) 623-4230
Entity
Organization
Contact information
Practice address
1487 MAIN ST, DALLAS, OR 97338-2520
(503) 623-4230
(503) 623-4230
Mailing address
1487 MAIN ST, DALLAS, OR 97338-2520
(503) 623-4230
(503) 623-4230
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
508233
OR
Other
Enumeration date
11/19/2008
Last updated
08/19/2010
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