OrganizationActive
Pioneer Guest Home II, Inc
NPI 1235577115 · Mental Illness Community Based Residential Treatment Facility · Enterprise, OR
Provider details
- NPI number
- 1235577115
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Randall Roddey, Licensed Administrator(541) 263-0897
- License
- 300024 (OR)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
101 E Main St
Enterprise, OR 97828-1381
Phone: (541) 426-4222
Fax: (541) 426-6550
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 326
Enterprise, OR 97828-0326
Registry dates
- Enumerated
- 2013-06-12
- Last updated
- 2013-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.