Organization
SKYLARK ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD M WOOLLARD (CEO)
(541) 552-1713
Entity
Organization
Contact information
Practice address
900 SKYLARK PL, ASHLAND, OR 97520-9640
(541) 552-1713
(541) 552-1058
Mailing address
900 SKYLARK PL, ASHLAND, OR 97520-9640
(541) 552-1713
(541) 552-1058
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1121496081
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502827
—
OR
Enumeration date
09/04/2014
Last updated
09/04/2014
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