Individual
MRS. BERNADETTE FRANCES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADULT FOSTER CARE PR
Contact information
Practice address
92158 CAPE ARAGO HWY,, COOS BAY, OR 97420-8743
(541) 888-3972
Mailing address
92158 CAPE ARAGO HWY,, COOS BAY, OR 97420-8743
(541) 888-3972
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
500765185
OR
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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