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Organization

SIMPLE TREASURES IN HOME CARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAKIESHA LA JE'HANNE (PRESIDENT/OWNER)
(541) 269-0833
Entity
Organization

Contact information

Practice address
518 S WALL ST, COOS BAY, OR 97420-2731
(541) 269-0833
(541) 269-0833
Mailing address
93603 W HOWARD LN, COOS BAY, OR 97420-4051
(541) 269-0833
(541) 269-0833

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
15-2202
OR
253Z00000X
In Home Supportive Care Agency
Primary
15-2202
OR

Other

Enumeration date
03/23/2012
Last updated
03/23/2012
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