| NPI | 1578189114 |
|---|---|
| Doing Business As | SOUTHTOWNE LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | KEVIN DALE COX Member 541-389-8929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |