Waterford Operations, LLC

NPI #1114965894 in Medford, Oregon

Provider Information

NPI Number
1114965894
Entity Type
Organization
Organization Name
Waterford Operations, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 3, 2006
Last Updated
Jan 21, 2025

Practice Location

Address
835 CRATER LAKE AVE
State
Oregon
ZIP Code
97504-6505
Phone
(541) 773-7717

Authorized Official

Name
K. RICKARD MILLER JR.
Title
MANAGER
Phone
(503) 570-3405

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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