| NPI | 1417822958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY M CLARK Owner/Provider 541-646-8609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-06 |