| NPI | 1992897599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE ANN EVANS Owner/ Accounts Payable 541-479-0874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: OR 152142) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |