Elderhealth & Living, Corporation

NPI 1003965880 - Alzheimer Center (Dementia Center) - 311500000X

NPI Details
NPI 1003965880
Enumeration Date 01/09/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ELIZABETH PORTER ELIZABETH
Position MEDICAL DIRECTOR CEO
Phone (541) 747-4858
Fax (541) 747-5322
Practice Location
382 S 58TH ST STE B
SPRINGFIELD OR, 97478-7623, US
Phone (541) 747-4858
Fax (541) 747-5322
Business Location
382 S 58TH ST STE B
SPRINGFIELD OR, 97478-7623, US
Phone (541) 747-4858
Fax (541) 747-5322
Toxanomy
Taxonomy Code 311500000X
License State Oregon
License Number 1748265563
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According to our database, Elderhealth & Living, Corporation NPI is 1003965880, taxonomy code is 311500000X and license number is 1748265563, license state is located at Oregon. Elderhealth & Living, Corporation physically located at 382 S 58th St Ste B, Springfield OR, 97478-7623. NPI Number 1033115704 has the healthcare provider type.

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1003965880 NPI number is provided on an as is basis without warranty of any kind. 1003965880 is maintained by the National Plan & Provider Enumeration System. The contents of Elderhealth & Living, Corporation are for informational purposes only.