| NPI | 1093331811 |
|---|---|
| Doing Business As | FARMINGTON SQUARE MEDFORD |
| Entity Type | Organization |
| Authorized Contact | JAMES GUFFEE President Of Manager 503-595-2810 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |