NPI | 1922095934 |
---|---|
Doing Business As | MARYVILLE NURSING HOME |
Entity Type | Organization |
Authorized Contact | KATHLEEN A. PARRY Administrator 503-643-8626 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OR 00817) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2022-03-10 |