Sandy Assisted Living LLC

NPI #1124233622 in Salem, Oregon

Provider Information

NPI Number
1124233622
Entity Type
Organization
Organization Name
Sandy Assisted Living LLC
Primary Specialty
Point of Service
Enumeration Date
May 10, 2007
Last Updated
Oct 4, 2007

Practice Location

Address
3200 STATE STREET
Address 2
SUITE 200
City
Salem
State
Oregon
ZIP Code
97301
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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