Organization
PACIFIC HOME CARE ASSOCIATES INC.
Active
Other names
Pacific Home Health & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD FREEMAN (PRESIDENT)
(405) 878-0202
Entity
Organization
Contact information
Practice address
375 PARK AVE STE 6, COOS BAY, OR 97420-2242
(541) 266-7005
Mailing address
120 W MACARTHUR ST STE 121, SHAWNEE, OK 74804-2005
(405) 878-0202
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137518
—
OR
Enumeration date
03/17/2006
Last updated
01/12/2024
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