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Organization
QUAIL PARK OF KLAMATH FALLS, LLC
Active
Organization
QUAIL PARK OF KLAMATH FALLS, LLC
Active
Other names
Quail Park at Crystal Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENIS R BRYANT (MANAGING MEMBER)
(206) 441-1770
Entity
Organization
Contact information
Practice address
1000 TOWN CENTER DR, KLAMATH FALLS, OR 97601-7137
(541) 885-7250
(541) 882-8882
Mailing address
146 N CANAL ST, STE 220, SEATTLE, WA 98103-8691
(206) 441-1770
(206) 441-1977
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1090374171
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
523250
—
OR
Enumeration date
04/05/2012
Last updated
04/05/2012
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