Organization
J & L ADULT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA. ANN CLUBB (ADMINISTRATOR)
(503) 390-4462
Entity
Organization
Contact information
Practice address
5034 BAILEY RD NE, KEIZER, OR 97303-3706
(503) 390-4462
Mailing address
5034 BAILEY RD NE, KEIZER, OR 97303-3706
(503) 390-4462
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
000000
OR
Other
Enumeration date
11/05/2008
Last updated
11/06/2008
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