Organization
TOTAL QUALITY NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY K PALMER RD, CSG, LD (OWNER)
(503) 566-5826
Entity
Organization
Contact information
Practice address
764 CREEKSIDE DR SE, SALEM, OR 97306-9333
(503) 566-5826
Mailing address
764 CREEKSIDE DR SE, SALEM, OR 97306-9333
(503) 566-5826
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
873
OR
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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