| NPI | 1194920058 |
|---|---|
| Other Name | THE FOUNTAINS OF SHILOH |
| Entity Type | Organization |
| Authorized Contact | JOHN HOLTZ Controller 541-747-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2008-06-19 |