Organization
FIRST CALL HOME HEALTH AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB MULLIN (CEO)
(503) 371-4567
Entity
Organization
Contact information
Practice address
2608 CASCADIA INDUSTRIAL ST SE, SALEM, OR 97302-1372
(503) 371-4567
(503) 371-4569
Mailing address
2608 CASCADIA INDUSTRIAL ST SE, SALEM, OR 97302-1372
(503) 371-4567
(503) 371-4569
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
13 1375
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100226
—
OR
01
—
520030001
FIRSTCHOICE 65 NUMBER
—
01
—
820030000
REGENCE BLUECROSS NUMBER
—
01
—
J456401
SECURE HORIZONS NUMBER
—
Enumeration date
01/17/2006
Last updated
09/22/2022
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