# MENNONITE HOME OF ALBANY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lydia's House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417957655
- **Authorized official:** MR. CHESTER W. PATTERSON CPA, NHA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (541) 928-7232

## Contact information

- **Practice address:** 5353 COLUMBUS ST SE, ALBANY, OR 97322-7136
- **Practice address phone:** (541) 928-7232
- **Practice address fax:** (541) 917-1399
- **Mailing address:** 5353 COLUMBUS ST SE, ALBANY, OR 97322-7136
- **Mailing address phone:** (541) 928-7232
- **Mailing address fax:** (541) 917-1399

## Taxonomy

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

## Other

- **Enumeration date:** 07/29/2005
- **Last updated:** 08/22/2020