| NPI | 1194900399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA S PETTY Bus Office Manager 541-573-6126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: OR 00026638n1) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |