Organization
ELDERBERRY SQUARE COMMUNITY, LLC
Active
Other names
New Friends Memory and Residential Care of Florence
Organization subpart
No
Provider details
NPI number
Authorized official
CARL ALLEN MASON (DIRECTOR OF OPERATIONS)
(503) 826-5190
Entity
Organization
Contact information
Practice address
3321 OAK ST, FLORENCE, OR 97439-9515
(541) 475-2273
Mailing address
3321 OAK ST, FLORENCE, OR 97439-9515
(541) 475-2273
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522211
—
OR
05
—
522229
—
OR
Enumeration date
06/26/2020
Last updated
06/26/2020
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