Organization
PEACEHEALTH
Active
Other names
Peace Harbor Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD YECNY (CEO)
(541) 902-6050
Entity
Organization
Contact information
Practice address
2230 KINGWOOD ST, FLORENCE, OR 97439-9464
(541) 997-3418
(541) 902-6740
Mailing address
400 9TH ST, FLORENCE, OR 97439-7398
(541) 997-3418
(541) 902-6740
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
13140711
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051516
—
OR
Enumeration date
11/08/2005
Last updated
08/20/2014
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