| NPI | 1558447714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D GOMES CEO 541-573-7281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: OR 140704) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2025-11-11 |