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Organization

HARTFORD HOME

Active
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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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