NPI | 1700830239 |
---|---|
Doing Business As | LIFE CARE CENTER OF COOS BAY |
Entity Type | Organization |
Authorized Contact | CINDY S. CROSS Assistant Secretary 423-473-5867 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OR BUS000661) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2021-09-15 |