Organization
SAPPHIRE AT MYRTLE CREEK LLC
Active
Other names
Myrtle Creek Rehabilitation and Care
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MICHAEL RICKER (MANAGING MEMBER)
(503) 887-7395
Entity
Organization
Contact information
Practice address
637 ASH ST, MYRTLE POINT, OR 97458-1133
(503) 887-7395
Mailing address
305 NE 102ND AVE STE 250, PORTLAND, OR 97220-4170
(503) 446-2877
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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