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Nibbus Combined Care LLC — NPI 1730987462, Phoenix, OR | NPI Central

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NPI 1730987462

OrganizationActive

Nibbus Combined Care LLC

NPI 1730987462 · Mental Illness Community Based Residential Treatment Facility · Phoenix, OR

Provider details

NPI number: 1730987462
Entity type: Organization
Primary specialty: Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
Parent organization: Nibbus Combined Care LLC
Organization subpart: Yes
Authorized official: Brenda Watson, Owner/Executive Director(458) 225-9993

Specialties & taxonomies

Mental Illness Community Based Residential Treatment FacilityPrimary320800000X
Residential Treatment Facilities

Practice location

805 Amerman Dr

Phoenix, OR 97535-7729

Phone: (458) 291-1603

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

1175 E Main St Ste 2f

Medford, OR 97504-7457

Other names (DBA / former)

Doing business as: Brycen'S House Rth

Registry dates

Enumerated: 2025-03-06
Last updated: 2025-03-06
Certified: 2025-03-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.