Cedar Ridge Retirement & Assisted Living Community Llc

NPI 1083827745 - Point of Service - 305S00000X

NPI Details
NPI 1083827745
Enumeration Date 05/08/2007
Last Updated 10/04/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KELLEY D KELLEY
Position CEO-PRES OF MANAGER
Phone (503) 566-5715
Fax (503) 588-3531
Practice Location
3220 STATE ST
SUITE 200
SALEM OR, 97301-6872, US
Phone (503) 566-5715
Fax (503) 588-3531
Business Location
9515 198TH AVENUE EAST
BONNEY LAKE WA, 98391, US
Phone (253) 299-6461
Fax (253) 299-6475
Toxanomy
Taxonomy Code 305S00000X
License State Washington
License Number 1951
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According to our database, Cedar Ridge Retirement & Assisted Living Community Llc NPI is 1083827745, taxonomy code is 305S00000X and license number is 1951, license state is located at Washington. Cedar Ridge Retirement & Assisted Living Community Llc physically located at 3220 State St, Salem OR, 97301-6872. NPI Number 1033115704 has the healthcare provider type.

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1083827745 NPI number is provided on an as is basis without warranty of any kind. 1083827745 is maintained by the National Plan & Provider Enumeration System. The contents of Cedar Ridge Retirement & Assisted Living Community Llc are for informational purposes only.