Organization
ROGUE VALLEY MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE L KEATON (EXECUTIVE DIRECTOR)
(541) 301-1592
Entity
Organization
Contact information
Practice address
1200 MIRA MAR AVE, MEDFORD, OR 97504-8546
(541) 857-7777
(541) 857-7590
Mailing address
1200 MIRA MAR AVE, MEDFORD, OR 97504-8546
(541) 857-7777
(541) 857-7590
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2275
OR
Other
Enumeration date
08/09/2005
Last updated
12/11/2025
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