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Organization

NIBBUS COMBINED CARE LLC

Active
Parent organization
NIBBUS COMBINED CARE LLC
Other names
NiBBuS CombiNed Care LLC, Aster Place RTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
NIBBUS COMBINED CARE LLC
Authorized official
BRENDA LOREAN WATSON (EXECUTIVE DIRECTOR)
(541) 254-0630
Entity
Organization

Contact information

Practice address
1520 S PEACH ST, MEDFORD, OR 97501-4051
(458) 658-9386
Mailing address
1175 E MAIN ST STE 2F, MEDFORD, OR 97504-7457
(541) 254-0630

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
03/06/2025
Last updated
04/02/2026
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