Organization
MEDFORD ASSISTED LIVING LLC
Active
Other names
The Orchards Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD MONROE WOOLLARD (MANAGING MEMBER)
(541) 601-6070
Entity
Organization
Contact information
Practice address
1018 ROYAL CT, MEDFORD, OR 97504-6175
(541) 773-2771
(541) 776-5227
Mailing address
1018 ROYAL CT, MEDFORD, OR 97504-6175
(541) 773-2771
(541) 776-5227
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504356
—
OR
Enumeration date
06/18/2020
Last updated
06/18/2020
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