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1518511419
CHESTNUT LANE OPERATIONS LLC
GRESHAM, OR
NPI
1518511419
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Entity Type
Organization
Authorized Contact
KARL MILLER JR.
CEO
503-570-3405
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
CHESTNUT LANE OPERATIONS LLC
1219 NE 6TH ST
GRESHAM, OR 97030-7348
Phone number: 503-674-0364
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Mailing Address
CHESTNUT LANE OPERATIONS LLC
1219 NE 6TH ST
GRESHAM, OR 97030-7348
Phone number:
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