| NPI | 1730636762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOBAIL NAVIDA LABILLES Lpn 541-974-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 201601769LPN) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |