Organization
FAMILY NURTURING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA O'CONNER (EXECUTIVE DIRECTOR)
(541) 779-5242
Entity
Organization
Contact information
Practice address
212 N OAKDALE AVE, MEDFORD, OR 97501-2632
(541) 779-5242
Mailing address
212 N OAKDALE AVE, MEDFORD, OR 97501-2632
(541) 779-5242
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/14/2017
Last updated
03/15/2017
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