Organization
TELECARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HARRIS M.S.N. (REGIONAL ADMINISTRATOR)
(541) 530-3066
Entity
Organization
Contact information
Practice address
1646 NE EDGECLIFF CIR, BEND, OR 97701-4159
(541) 788-7602
Mailing address
1646 NE EDGECLIFF CIRCLE, BEND, OR 97701
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
OR
Other
Enumeration date
02/02/2011
Last updated
06/24/2011
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