Organization · Type 2 NPI
Clair's II Adult Foster Home LLC
Adult Care Home Facility · Coos Bay, OR
NPI number
1073150074
Active
Practice location
63249 Everest Rd
Coos Bay, OR 97420-7238
Fax (541) 269-7955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
| Home Health Aide | 374U00000X | None listed |
| Nurse's Aide | 376K00000X | None listed |
| Respite Care | 385H00000X | None listed |
| Prevention Professional | 405300000X | 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.
About NPI 1073150074
Clair's II Adult Foster Home LLC's National Provider Identifier is 1073150074, issued on Dec 9, 2019. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Coos Bay, OR. The record was last updated on Dec 9, 2019.