# WEST SALEM MEMORY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336765759
- **Authorized official:** MR. DONALD K HARRIS (PRESIDENT)
- **Authorized official phone:** (503) 991-6412

## Contact information

- **Practice address:** 2030 WALLACE RD NW, SALEM, OR 97304-2123
- **Practice address phone:** (508) 588-4428
- **Practice address fax:** (503) 588-1087
- **Mailing address:** 2030 WALLACE RD NW, SALEM, OR 97304-2123
- **Mailing address phone:** (508) 588-4428
- **Mailing address fax:** (503) 588-1087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2020
- **Last updated:** 07/10/2020