# EUGENE SOUTHTOWNE LIVING CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southtowne Living Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578189114
- **Authorized official:** MR. KEVIN DALE COX (MEMBER)
- **Authorized official phone:** (541) 389-8929

## Contact information

- **Practice address:** 389 W 29TH AVE, EUGENE, OR 97405-2726
- **Practice address phone:** (541) 683-3618
- **Practice address fax:** (541) 342-8130
- **Mailing address:** 205 SE WILSON AVE STE 1, BEND, OR 97702-1799
- **Mailing address phone:** (541) 389-8929

## Taxonomy

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

## Other

- **Enumeration date:** 06/19/2020
- **Last updated:** 06/19/2020