Organization
NIBBUS COMBINED CARE LLC
Active
Organization
NIBBUS COMBINED CARE LLC
Active
Parent organization
NIBBUS COMBINED CARE LLC
Other names
Sunrise Garden RTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
NIBBUS COMBINED CARE LLC
Authorized official
MRS. BRENDA L WATSON (OWNER)
(458) 225-9993
Entity
Organization
Contact information
Practice address
1481 KINGS HWY, MEDFORD, OR 97501-4010
(541) 254-0630
Mailing address
1175 E MAIN ST STE 2F, MEDFORD, OR 97504-7457
(458) 225-9993
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
03/06/2025
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