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Organization

CALLAHAN ALF, LLC

Active
Other names
Callahan Village Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY RODERICK (MEMBER)
(503) 443-1818
Entity
Organization

Contact information

Practice address
1801 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-1627
(541) 673-4500
(541) 672-1346
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
521350
OR
Enumeration date
06/18/2020
Last updated
06/18/2020
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