Nibbus Combined Care LLC

NPI #1730987462 in Phoenix, Oregon

Provider Information

NPI Number: 1730987462
Entity Type: Organization
Organization Name: Nibbus Combined Care LLC
Subpart: Yes (part of a larger organization)
Parent Organization: NIBBUS COMBINED CARE LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Mar 6, 2025
Last Updated: Mar 6, 2025

Practice Location

Address: 805 AMERMAN DR
City: Phoenix
State: Oregon
ZIP Code: 97535-7729
Phone: (458) 291-1603

Authorized Official

Name: BRENDA WATSON
Title: OWNER/EXECUTIVE DIRECTOR
Phone: (458) 225-9993

Specialties & Taxonomy Codes

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

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