Organization
ARBOR PLACE SENIOR COMMUNITY LLC
Active
Other names
Arbor Place Senior Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLEY D HAMILTON (CEO AND PRESIDENT OF MANAGER)
(503) 566-5715
Entity
Organization
Contact information
Practice address
3220 STATE ST, SUITE 200, SALEM, OR 97301-6872
(503) 566-5715
(503) 588-3531
Mailing address
3150 JUANIPERO WAY, MEDFORD, OR 97504-8418
(541) 773-5380
(541) 773-5378
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087732-93
REGISTRY #
OR
Enumeration date
05/04/2007
Last updated
10/04/2007
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