Organization
BY YOUR SIDE AZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE SHAW (MEMBER)
(541) 459-1260
Entity
Organization
Contact information
Practice address
130 S COMSTOCK AVE, SUTHERLIN, OR 97479-9409
(541) 459-1260
Mailing address
130 S COMSTOCK AVE, SUTHERLIN, OR 97479-9409
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/14/2024
Last updated
03/15/2024
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