Organization
YSA GROUP OPERATING COMPANY LLC
Active
Other names
Kellyville RCF
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY TON (MANAGING DIRECTOR)
(503) 805-0677
Entity
Organization
Contact information
Practice address
12221 SE KELLY ST, PORTLAND, OR 97236-3231
(503) 954-2561
Mailing address
12221 SE KELLY ST, PORTLAND, OR 97236-3231
(503) 954-2561
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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