Organization
OHANA EUGENE OPERATIONS LLC
Active
Other names
Holly Residential Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HILTY (MEMBER)
(503) 250-3825
Entity
Organization
Contact information
Practice address
1075 IRVINGTON DR, EUGENE, OR 97404-4019
(541) 607-8587
Mailing address
1075 IRVINGTON DR, EUGENE, OR 97404-4019
(541) 607-8587
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50A074
—
OR
Enumeration date
11/17/2022
Last updated
11/17/2022
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