Organization
WATERFRONT HOMECARE LLC
Active
Other names
Waterfront Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
AAIZA DEE (ADMINISTRATOR)
(541) 375-0166
Entity
Organization
Contact information
Practice address
730 SE FLINT ST, ROSEBURG, OR 97470-3428
(541) 375-0166
(541) 637-0211
Mailing address
86895 N BANK LN, COQUILLE, OR 97423-8613
(541) 375-0166
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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