Organization
STRIDE RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLETTE LEE MARCHANT (OWNER)
(541) 654-3709
Entity
Organization
Contact information
Practice address
2747 NEWTON ST, PHILOMATH, OR 97370-9214
(541) 654-3709
Mailing address
2747 NEWTON ST, PHILOMATH, OR 97370-9214
(541) 654-3709
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
519136
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519136
—
OR
Enumeration date
04/25/2016
Last updated
05/13/2016
Update your record
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