IndividualActive
Bernadette Smith, ADULT FOSTER CARE PR
NPI 1598313199 · Assisted Living Facility (Behavioral Disturbances) · Coos Bay, OR
Provider details
- NPI number
- 1598313199
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Credential
- ADULT FOSTER CARE PR
- Sex
- Female
- Sole proprietor
- Yes
- License
- 500765185 (OR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
92158 Cape Arago Hwy,
Coos Bay, OR 97420-8743
Phone: (541) 888-3972
Approximate (ZIP-level) locationGet directions
Mailing address
92158 Cape Arago Hwy,
Coos Bay, OR 97420-8743
Registry dates
- Enumerated
- 2019-08-28
- Last updated
- 2019-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.