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Organization
YSA GROUP OPERATING COMPANY LLC
Active
Organization
YSA GROUP OPERATING COMPANY LLC
Active
Other names
Kellyville RCF
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY TON (MANAGING DIRECTOR)
(503) 805-0677
Entity
Organization
Contact information
Practice address
12221 SE KELLY ST, PORTLAND, OR 97236-3231
(503) 954-2561
Mailing address
12221 SE KELLY ST, PORTLAND, OR 97236-3231
(503) 954-2561
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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