DARREL A DECKER

LEBANON, OR
NPI1801278049
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: OR  08867)
Enumeration Date2015-06-24
Last Update Date2015-06-24
Business Address
-- DARREL A DECKER PTA
350 8TH STREET
LEBANON, OR 97355
Phone number: 541-259-1221
Mailing Address
-- DARREL A DECKER PTA
924 SE BETHEL PLACE
CORVALLIS, OR 97333
Phone number: 812-585-2768
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STATE OF OREGON DEPARTMENT OF VETERANS' AFFAIRS
LEBANON CARE CENTER, LLC