Organization
CML INC
Active
Other names
Tierra Rose Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI LASSEN (EXECUTIVE DIRECTOR)
(503) 585-4602
Entity
Organization
Contact information
Practice address
4254 WEATHERS ST NE, SALEM, OR 97301-1933
(503) 585-4602
(503) 585-6002
Mailing address
4254 WEATHERS ST NE, SALEM, OR 97301-1933
(503) 585-4602
(503) 585-6002
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
805788
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805788
—
OR
Enumeration date
10/04/2005
Last updated
06/10/2014
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