Organization
DOUGLAS RESIDENT TRAINING FACILITIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS SPENS (EXECUTIVE DIRECTOR)
(541) 679-6237
Entity
Organization
Contact information
Practice address
931 NW HIGHLAND ST, ROSEBURG, OR 97470-5136
(541) 679-6237
(541) 679-3943
Mailing address
931 NW HIGHLAND ST, ROSEBURG, OR 97470-5136
(541) 679-6237
(541) 679-3943
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
DD2194
OR
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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