# SWEET HOME MC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wiley Creek Memory Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992567721
- **Authorized official:** DOUGLAS SPROUL (MANAGEING MEMBER)
- **Authorized official phone:** (503) 391-9999

## Contact information

- **Practice address:** 4950 MOUNTAIN FIR ST, SWEET HOME, OR 97386
- **Practice address phone:** (503) 391-9999
- **Mailing address:** 650 HAWTHORNE AVE SE STE 210, SALEM, OR 97301-5895
- **Mailing address phone:** (503) 391-9999

## Taxonomy

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

## Other

- **Enumeration date:** 01/26/2024
- **Last updated:** 01/26/2024