| NPI | 1992188189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ANN MANNILA Dental Hygienist 971-373-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OR H2913) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |