Childerns Farm Home

NPI #1457561524 in Corvallis, Oregon

Provider Information

NPI Number: 1457561524
Entity Type: Organization
Organization Name: Childerns Farm Home
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2820 SE GLENN ST
City: Corvallis
State: Oregon
ZIP Code: 97333-2121
Phone: (541) 750-1121

Authorized Official

Name: MR. JOSHUA TAYLOR COPELAND
Title: LEAD TTL POWERS
Phone: (541) 750-1121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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