| NPI | 1083321699 |
|---|---|
| Former Legal Business Name | SACRED LIVING CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | SHANNON TINDER Owner 541-363-7436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |