Organization
PREFERRED COMMUNITY HOMES, LLC.
Active
Other names
Preferred Community Homes - Fieldstone
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON MCARTHUR (CFO)
(503) 362-5235
Entity
Organization
Contact information
Practice address
2774 N OLD STONE WAY, MERIDIAN, ID 83642-3842
(208) 888-4503
Mailing address
3155 RIVER RD S STE 100, SALEM, OR 97302-9819
(503) 362-5235
(503) 585-3267
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LT528ID
—
AK
Enumeration date
02/28/2007
Last updated
01/09/2008
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