D & K Harbick Five LLC
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Blue River, OR
NPI 1235646266 · NPPES record last updated Dec 29, 2017
Key facts
- NPI
- 1235646266
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Legal business name
- D & K HARBICK FIVE LLC
- Practice address
- 91804 Mill Creek Rd
Blue River, OR 97413-9711 - Phone
- (541) 822-3603
- NPI assigned
- Dec 29, 2017
- Organization subpart
- No
Authorized official
- Name
- Kail L Harbickq
- Title
- Owner
- Phone
- (541) 822-3603
National Provider Directory
Locations
91804 Mill Creek Rd
Blue River, OR 97413
Phone (541) 822-3603
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
91804 Mill Creek Rd
Blue River, OR 97413-9711
Mailing address
91804 Mill Creek Rd
Blue River, OR 97413-9711
Phone (541) 822-3603
Other names
- Ark77 Recovery Center
Other providers in Blue River, OR
- Elizabeth Loree Cramer
- Daisy Cruz
- Andrea Ruth Lowry
- Kristi Ann McKenzie
- Debra M Waddell
- Leslie West
- Nessa Marie Wilson
All providers in Blue River, OR · Mental Illness Community Based Residential Treatment Facility in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.