Organization
MENNONITE HOME OF ALBANY, INC.
Active
Other names
Lydia's House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHESTER W. PATTERSON CPA, NHA (CHIEF FINANCIAL OFFICER)
(541) 928-7232
Entity
Organization
Contact information
Practice address
5353 COLUMBUS ST SE, ALBANY, OR 97322-7136
(541) 928-7232
(541) 917-1399
Mailing address
5353 COLUMBUS ST SE, ALBANY, OR 97322-7136
(541) 928-7232
(541) 917-1399
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504507
—
OR
Enumeration date
07/29/2005
Last updated
08/22/2020
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