| NPI | 1639170988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE L KEATON Executive Director 541-301-1592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OR 2275) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2025-12-11 |