| NPI | 1255672317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY HICKS Executive Director 541-469-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OR 70A316) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: OR 50R368) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |