Organization
PERSONAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON LEE MOORE RN (PRESIDENT)
(503) 949-3914
Entity
Organization
Contact information
Practice address
1320 LEWIS ST SE, SALEM, OR 97302-2526
(503) 371-1495
(503) 371-1612
Mailing address
1320 LEWIS ST SE, SALEM, OR 97302-2526
(503) 371-1495
(503) 371-1612
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
15-2020
OR
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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