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Organization

ELDERLY AND DISABLED SERVICES

Active
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Organization

ELDERLY AND DISABLED SERVICES

Active
Parent organization
-
Other names
Restoration Home Ridgeway
Organization subpart
Yes

Provider details

NPI number
Legal business name
-
Authorized official
LARRY MICHAEL MCPHEE (OWNER/PROVIDER)
(541) 261-1991
Entity
Organization

Contact information

Practice address
794 RIDGEWAY AVE, CENTRAL POINT, OR 97502-3520
(458) 225-9358
Mailing address
3126 STATE ST STE 100, MEDFORD, OR 97504-8665
(458) 225-9358

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
12/16/2024
Last updated
06/17/2025
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