Organization
GREEN VALLEY MEMORY ASSOCIATES, LLC
Active
Organization
GREEN VALLEY MEMORY ASSOCIATES, LLC
Active
Other names
Canyon Valley Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY RODERICK (MEMBER)
(503) 443-1818
Entity
Organization
Contact information
Practice address
2985 S CAMINO DEL SOL, GREEN VALLEY, AZ 85622-8292
(520) 393-0077
Mailing address
7420 SW BRIDGEPORT RD STE 105, PORTLAND, OR 97224-7790
(503) 597-4906
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885095
—
AZ
Enumeration date
06/22/2020
Last updated
06/22/2020
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