Organization
ASHLEY MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ELLISON (AUTHORIZED PERSON)
(208) 376-7298
Entity
Organization
Contact information
Practice address
2110 SW 2ND AVE, ONTARIO, OR 97914-1985
(541) 881-9136
Mailing address
PO BOX 1176, MERIDIAN, ID 83680-1176
(208) 376-7298
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
03/01/2022
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