Myrtle Creek Alf, LLC
NPI #1790300077 in Myrtle Creek, Oregon
Provider Information
- NPI Number
- 1790300077
- Entity Type
- Organization
- Organization Name
- Myrtle Creek Alf, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 11, 2020
- Last Updated
- Jun 11, 2020
Practice Location
- Address
- 121 SE CORDELIA DR
- City
- Myrtle Creek
- State
- Oregon
- ZIP Code
- 97457-7411
- Phone
- (541) 863-4444
Authorized Official
- Name
- PETER VERDIECK
- Title
- EVP FINANCE & ADMINISTRATION
- Phone
- (503) 255-4647
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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