Organization
TELECARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE DENISE RILEY RN (RECOVERY SPECIALIST/REGISTERED NURS)
(541) 318-1377
Entity
Organization
Contact information
Practice address
20370 POE SHOLES DR., BEND, OR 97701
(541) 318-1377
Mailing address
20370 POE SHOLES DR, BEND, OR 97701-7938
(541) 318-1377
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
200942082RN
OR
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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