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Organization

PRESBYTERIAN NURSING HOME

Active
Other names
Presbyterian Community Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
CATHLEEN L. SULLIVAN (ADMINISTRATOR)
(541) 889-9133
Entity
Organization

Contact information

Practice address
1085 N OREGON ST, ONTARIO, OR 97914-1549
(541) 889-9133
(541) 889-6436
Mailing address
1085 N OREGON ST, ONTARIO, OR 97914-1549
(541) 889-9133
(541) 889-6436

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
800979
OR
Enumeration date
09/16/2005
Last updated
11/15/2010
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