Fir Hill Group Home LLC

NPI #1003061987 in Dallas, Oregon

Provider Information

NPI Number: 1003061987
Entity Type: Organization
Organization Name: Fir Hill Group Home LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Nov 19, 2008
Last Updated: Aug 19, 2010

Practice Location

Address: 1487 MAIN ST
City: Dallas
State: Oregon
ZIP Code: 97338-2520
Phone: (503) 623-4230

Authorized Official

Name: PAMELA A HITCHCOCK
Title: ADMINISTRATOR
Phone: (503) 623-4230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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