Organization
HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MATTHEW CONWAY (EXECUTIVE DIRECTOR)
(503) 917-1955
Entity
Organization
Contact information
Practice address
5100 CENTER ST NE, SALEM, OR 97317-3217
(503) 917-1955
(503) 990-8686
Mailing address
5100 CENTER ST NE, SALEM, OR 97317-3217
(503) 917-1955
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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