| NPI | 1205336914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY W. FLEMING Controller 971-337-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 000322) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2019-03-12 |