| NPI | 1063609949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA S PETTY Business Office Manager 541-573-6126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |