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 |