Organization
ELDERLY AND DISABLED SERVICES
Active
Parent organization
ELDERLY AND DISABLED SERVICES
Other names
Restoration Home RTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELDERLY AND DISABLED SERVICES
Authorized official
LARRY MICHAEL MCPHEE (OWNER)
(458) 225-9358
Entity
Organization
Contact information
Practice address
248 MACE RD, MEDFORD, OR 97501-1280
(541) 261-1991
(541) 631-3424
Mailing address
3126 STATE ST STE 100, MEDFORD, OR 97504-8665
(541) 261-1991
(541) 631-3424
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500788139
—
OR
Enumeration date
09/10/2020
Last updated
06/17/2025
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