Organization
SHERWOOD PARK NURSING HOME INC
Active
Other names
Sherwood Park Nursing and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT FREDRICKSON (DIRECTORE OF OPERATIONS)
(503) 390-2271
Entity
Organization
Contact information
Practice address
4062 ARLETA AVE NE, KEIZER, OR 97303-4758
(503) 390-2271
(503) 390-0177
Mailing address
4062 ARLETA AVE NE, KEIZER, OR 97303-4758
(503) 390-2271
(503) 390-0177
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804815
—
OR
Enumeration date
10/04/2005
Last updated
03/15/2012
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