Forest Drive Operations, LLC

NPI #1306001474 in Seaside, Oregon

Provider Information

NPI Number: 1306001474
Entity Type: Organization
Organization Name: Forest Drive Operations, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Jul 28, 2008
Last Updated: Jul 28, 2008

Practice Location

Address: 101 FOREST DR
City: Seaside
State: Oregon
ZIP Code: 97138-7867
Phone: (503) 738-0307

Authorized Official

Name: MR. KARL RICKARD MILLER JR.
Title: OWNER
Phone: (503) 570-3405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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