Organization
ROGUE VALLEY IN HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER MICHELLE PERRINO (DIRECTOR OF OPERATIONS)
(541) 245-0963
Entity
Organization
Contact information
Practice address
712 CRATER LAKE AVE, MEDFORD, OR 97504-6525
(541) 245-0963
(541) 772-0656
Mailing address
712 CRATER LAKE AVE, MEDFORD, OR 97504-6525
(541) 245-0963
(541) 772-0656
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
15-2148
OR
253Z00000X
In Home Supportive Care Agency
15.2148
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500662775
—
OR
05
—
524575
—
OR
Enumeration date
09/06/2013
Last updated
12/10/2020
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