Organization
QUAIL PARK OF KLAMATH FALLS, LLC
Active
Other names
Quail Park at Crystal Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENIS R BRYANT (MANAGING MEMBER)
(206) 441-1770
Entity
Organization
Contact information
Practice address
1000 TOWN CENTER DR, KLAMATH FALLS, OR 97601-7137
(541) 885-7250
(541) 882-8882
Mailing address
146 N CANAL ST, STE 220, SEATTLE, WA 98103-8691
(206) 441-1770
(206) 441-1977
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1090374171
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
523250
—
OR
Enumeration date
04/05/2012
Last updated
04/05/2012
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