Organization
LIFE CARE CENTERS OF AMERICA, INC.
Active
Other names
Life Care Center of Coos Bay
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY S. CROSS (ASSISTANT SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
2890 OCEAN BLVD SE, COOS BAY, OR 97420-3530
(541) 267-5433
(541) 267-6347
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
BUS000661
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805077
—
OR
Enumeration date
05/20/2006
Last updated
09/15/2021
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