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NPI Profile for KATHY BAILEY in SALEM, OR.
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320600000X | |||
Residential Treatment Facility, Physical Disabilities |
320700000X |
| NPI # | 1710539119 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/15/2019 | |
| Last updated | 07/15/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KATHY BAILEY
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KATHY BAILEY