Organization
BY YOUR SIDE - PEACE OF MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE R SHAW (MEMBER/MANAGER)
(541) 229-2273
Entity
Organization
Contact information
Practice address
446 S COMSTOCK, SUTHERLIN, OR 97479
(541) 229-2273
(541) 229-5265
Mailing address
130 S COMSTOCK, SUTHERLIN, OR 97479
(541) 459-1260
(541) 459-9878
Taxonomy
Speciality
Code
Description
License number
State
333300000X
Emergency Response System Companies
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500650323
—
OR
Enumeration date
04/17/2013
Last updated
09/19/2022
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