Provider Demographics
NPI:1366089971
Name:BY YOUR SIDE - PEACE OF MIND LLC
Entity type:Organization
Organization Name:BY YOUR SIDE - PEACE OF MIND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:ROBERTSON
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-459-1260
Mailing Address - Street 1:130 S COMSTOCK AVE
Mailing Address - Street 2:
Mailing Address - City:SUTHERLIN
Mailing Address - State:OR
Mailing Address - Zip Code:97479-9409
Mailing Address - Country:US
Mailing Address - Phone:541-459-1260
Mailing Address - Fax:
Practice Address - Street 1:446 S COMSTOCK AVE
Practice Address - Street 2:
Practice Address - City:SUTHERLIN
Practice Address - State:OR
Practice Address - Zip Code:97479-9402
Practice Address - Country:US
Practice Address - Phone:541-229-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies