| NPI | 1801970470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEO MARTYNOWICZ Administrator 541-382-0479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OR 385253) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |