| NPI | 1154569689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GARBER CFO 541-746-1020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2015-02-23 |