Organization
AIDAN SENIOR LIVING AT REEDSPORT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY N ANDERSON (PRESIDENT)
(503) 588-4428
Entity
Organization
Contact information
Practice address
600 RANCH RD, REEDSPORT, OR 97467-1720
(541) 271-2171
(541) 271-2941
Mailing address
180 COMMERCIAL ST NE STE 11, SALEM, OR 97301-3486
(503) 588-4428
(503) 588-1087
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500621067
—
OR
Enumeration date
03/01/2010
Last updated
12/10/2012
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