Elderberry Square Community, LLC

NPI #1255958120 in Florence, Oregon

Provider Information

NPI Number
1255958120
Entity Type
Organization
Organization Name
Elderberry Square Community, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 26, 2020
Last Updated
Jun 26, 2020

Practice Location

Address
3321 OAK ST
State
Oregon
ZIP Code
97439-9515
Phone
(541) 475-2273

Authorized Official

Name
CARL ALLEN MASON
Title
DIRECTOR OF OPERATIONS
Phone
(503) 826-5190

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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