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Organization

BANDON SENIOR LIVING LLC

Active
Other names
Pacific View Senior Living LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERIC W JACOBSEN (MANAGER)
(503) 675-3925
Entity
Organization

Contact information

Practice address
1000 6TH AVE WEST, BANDON, OR 97411
(541) 347-7502
(541) 347-7802
Mailing address
1000 6TH AVE WEST, BANDON, OR 97411
(541) 347-7502
(541) 347-7802

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1493461250
OR
310400000X
Assisted Living Facility
1666408716
OR

Other

Enumeration date
09/19/2014
Last updated
09/19/2014
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