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Organization
SWEET HOME MC LLC
Active
Organization
SWEET HOME MC LLC
Active
Other names
Wiley Creek Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS SPROUL (MANAGEING MEMBER)
(503) 391-9999
Entity
Organization
Contact information
Practice address
4950 MOUNTAIN FIR ST, SWEET HOME, OR 97386
(503) 391-9999
Mailing address
650 HAWTHORNE AVE SE STE 210, SALEM, OR 97301-5895
(503) 391-9999
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
NULL
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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