Individual provider · Type 1 NPI
Andrew Amble
Adult Care Home Facility · Medford, OR
NPI number
1053042564
Active
Practice location
535 Sunrise Ave
Medford, OR 97504
Other practice locations
- 1000 SW Grandview Ave, Grants Pass, OR 97527-5527 · (541) 450-9007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
About NPI 1053042564
Andrew Amble's National Provider Identifier is 1053042564, issued on Jun 23, 2022. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Medford, OR. The record was last updated on Jul 30, 2024.