Organization
SHERIDAN CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENT M EMRY BHA, HCA (MEMBER)
(503) 585-0200
Entity
Organization
Contact information
Practice address
411 SE SHERIDAN RD, SHERIDAN, OR 97378-1938
(503) 843-2204
(503) 843-4612
Mailing address
411 SE SHERIDAN RD, SHERIDAN, OR 97378-1938
(503) 843-2204
(503) 843-4612
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
OR
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800092
—
OR
Enumeration date
05/24/2006
Last updated
01/22/2020
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