Organization
CLAY & LORRI THOMAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAY THOMAS 5418782975 (FOSTER PARENT)
(541) 878-2975
Entity
Organization
Contact information
Practice address
27105 HIGHWAY 62, TRAIL, OR 97541-9771
(541) 878-2975
Mailing address
27105 HIGHWAY 62, TRAIL, OR 97541-9771
(541) 878-2975
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
—
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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