Organization
AT HOME CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN COX (MEMBER)
(541) 312-0051
Entity
Organization
Contact information
Practice address
205 SE WILSON AVE, BEND, OR 97702-1799
(541) 312-0051
(541) 312-0077
Mailing address
205 SE WILSON AVE, BEND, OR 97702-1799
(541) 312-0051
(541) 312-0077
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
15-2220
OR
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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