| Hide Away Project Llc | |
|
1877 Winchester Ave Reedsport OR 97467-1148 | |
| (406) 407-8032 | |
| (214) 602-5295 |
| Full Name | Hide Away Project Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1877 Winchester Ave, Reedsport, Oregon |
| Authorized Official Name and Position | Janean Michael Francis (OWNER) |
| Authorized Official Contact | 4064078032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hide Away Project Llc Po Box 132 Reedsport OR 97467-0132 Ph: (406) 407-8032 | Hide Away Project Llc 1877 Winchester Ave Reedsport OR 97467-1148 Ph: (406) 407-8032 |
| NPI Number | 1053813972 |
|---|---|
| Provider Enumeration Date | 03/07/2018 |
| Last Update Date | 09/30/2022 |
| Certification Date | 09/30/2022 |
| Medicare PECOS PAC ID | 1557626645 |
|---|---|
| Medicare Enrollment ID | O20180518002071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053813972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Janean M Francis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134451115 PECOS PAC ID: 7719106293 Enrollment ID: I20140916000033 |
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