Coast Fork Nursing Center INC
NPI #1407842800 in Cottage Grove, Oregon
Provider Information
- NPI Number
- 1407842800
- Entity Type
- Organization
- Organization Name
- Coast Fork Nursing Center INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 21, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 515 GRANT AVE
- City
- Cottage Grove
- State
- Oregon
- ZIP Code
- 97424-2967
- Phone
- (541) 942-5528
Authorized Official
- Name
- GREGORY J VISLOCKY
- Title
- EXEC. VP OF FINANCE
- Phone
- (360) 735-7155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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