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Organization

FIRST CHOICE ELDERCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK OLIVER MANTILLA RN (DIRECTOR)
(801) 574-9773
Entity
Organization

Contact information

Practice address
170 BAYBERRY DR, MEDFORD, OR 97501-1306
(541) 621-1469
(971) 252-7319
Mailing address
1654 HONDELEAU LN, MEDFORD, OR 97504-7696
(801) 574-9773
(971) 252-7319

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
04/23/2024
Last updated
04/23/2024
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