Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareJEFFERSON MANOR RESIDENTIAL CARE, LLC
Alzheimer Center
Dallas, Oregon
Provider NPI: 1669633707
Organization Information:Organization Name: JEFFERSON MANOR RESIDENTIAL CARE, LLC
Practice Location:
664 SE JEFFERSON ST DALLAS, OR 97338 US
Tel: 503-623-8104 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
664 SE JEFFERSON ST DALLAS, OR 97338 US
Tel: 503-623-8104 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | OR | 1087658107 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 515448 | OR | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin