Organization
FIRST ADVENT MISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON LEE SHIELDS (IN HOME SERVICES)
(541) 702-2204
Entity
Organization
Contact information
Practice address
1055 N 5TH ST UNIT 93, JACKSONVILLE, OR 97530-9654
(541) 702-2204
Mailing address
1055 N 5TH ST UNIT 93, JACKSONVILLE, OR 97530-9654
(541) 702-2204
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/12/2011
Last updated
08/17/2011
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