Organization
MENNONITE HOME OF ALBANY, INC.
Active
Other names
Quail Run Assisted Living
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
2525 47TH AVE SE, ALBANY, OR 97322-8842
(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
310400000X
Assisted Living Facility
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
584636
—
OR
Enumeration date
07/28/2005
Last updated
08/22/2020
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