Pioneer Guest Home Ii, INC
NPI #1235577115 in Enterprise, Oregon
Provider Information
- NPI Number
- 1235577115
- Entity Type
- Organization
- Organization Name
- Pioneer Guest Home Ii, INC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jun 12, 2013
- Last Updated
- Jun 12, 2013
Practice Location
- Address
- 101 E MAIN ST
- City
- Enterprise
- State
- Oregon
- ZIP Code
- 97828-1381
- Phone
- (541) 426-4222
Authorized Official
- Name
- MR. RANDALL PERRY RODDEY, OWNER
- Title
- LICENSED ADMINISTRATOR
- Phone
- (541) 263-0897
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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