High Desert Assisted Living Community Llc

NPI 1083827349 - Point of Service - 305S00000X

NPI Details
NPI 1083827349
Enumeration Date 05/07/2007
Last Updated 10/04/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KELLEY D KELLEY
Position CEO-PRES OF MANAGER
Phone (506) 566-5715
Fax (503) 588-3531
Practice Location
3220 STATE ST
SUITE 200
SALEM OR, 97301-6872, US
Phone (506) 566-5715
Fax (503) 588-3531
Business Location
2660 NE MARY ROSE PL
BEND OR, 97701-5522, US
Phone (541) 312-2003
Fax (541) 312-2011
Toxanomy
Taxonomy Code 305S00000X
License State
License Number
Remove 1083827349 NPI Number
 

According to our database, High Desert Assisted Living Community Llc NPI is 1083827349, taxonomy code is 305S00000X High Desert 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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1083827349 NPI number is provided on an as is basis without warranty of any kind. 1083827349 is maintained by the National Plan & Provider Enumeration System. The contents of High Desert Assisted Living Community Llc are for informational purposes only.