Organization
HARTFORD HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAIOLANI B CALIP (MANAGER/ADMINISTRATOR/COORDINATOR)
(503) 838-2114
Entity
Organization
Contact information
Practice address
294 WHITMAN ST S, MONMOUTH, OR 97361-2035
(503) 838-2114
(503) 837-0683
Mailing address
294 WHITMAN ST S, MONMOUTH, OR 97361-2035
(503) 838-2114
(503) 837-0683
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
519091
OR
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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