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Roseburg Assisted Living LLC

NPI #1013120393 in Salem, Oregon

Provider Information

NPI Number
1013120393
Entity Type
Organization
Organization Name
Roseburg Assisted Living LLC
Primary Specialty
Point of Service
Enumeration Date
May 7, 2007
Last Updated
Oct 4, 2007

Practice Location

Address
3220 STATE ST
Address 2
SUITE 200
City
Salem
State
Oregon
ZIP Code
97301-6872
Phone
(503) 566-5715

Authorized Official

Name
MR. KELLEY D HAMILTON
Title
CEO-PRES OF MANAGER
Phone
(503) 566-5715

Specialties & Taxonomy Codes

Specialty
Point of Service

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