| NPI | 1033871504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT AUSTIN EVANS Manager Of Manager 541-317-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-12 |