PC
PONY CREEK ANNEX, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
NORTH BEND, OR
Licensed since
2021
Rate
—
Federal identifiers
NPI registry number1538736459
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients590
Authorized official
NameJANE GILBERT
TitleMEDICAL DIRECTOR
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