| NPI | 1861092520 |
|---|---|
| Doing Business As | POWELL VALLEY ASSISTED LIVING COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | TREVOR WART Manager 503-706-6918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |