Forest Glen
NPI #1871611350 in Canyonville, Oregon
Provider Information
- NPI Number
- 1871611350
- Entity Type
- Organization
- Organization Name
- Forest Glen
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 26, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 200 SW FRONTAGE
- City
- Canyonville
- State
- Oregon
- ZIP Code
- 97417
- Phone
- (541) 839-4266
Authorized Official
- Name
- JON HARDER
- Title
- MANAGER
- Phone
- (503) 485-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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