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Organization
JENNINGS MCCALL CENTER
Active
Organization
JENNINGS MCCALL CENTER
Active
Parent organization
THE MASONIC AND EASTERN STAR HOME OF OREGON, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MASONIC AND EASTERN STAR HOME OF OREGON, INC.
Authorized official
RICK KOMRAUS (GRAND SECRETARY)
(503) 357-3158
Entity
Organization
Contact information
Practice address
2221 OAK ST, FOREST GROVE, OR 97116-2052
(503) 359-4465
(503) 359-8552
Mailing address
2221 OAK ST, FOREST GROVE, OR 97116-2052
(503) 359-4465
(503) 359-8552
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521693
—
OR
05
—
524956
—
OR
Enumeration date
06/24/2020
Last updated
06/24/2020
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