| NPI | 1255367017 |
|---|---|
| Doing Business As | WATERFORD AT THEE FOUNTAINS HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | BRIAN E. PRYOR VP Operations 503-646-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: OR 13-1362) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-08-22 |