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Organization

LYNN ANN DEVELOPMENT, LLC

Active
Other names
CountrySide Village
Organization subpart
No

Provider details

NPI number
Authorized official
KIRA BELLIS (REGIONAL BUSINESS OFFICE MANAGER)
(541) 610-5847
Entity
Organization

Contact information

Practice address
1700 KELLENBECK AVE, GRANTS PASS, OR 97527-4251
(541) 956-0999
Mailing address
20058 BETH AVE UNIT 2, BEND, OR 97702-3067
(541) 610-5847

Taxonomy

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

Other

Enumeration date
06/23/2020
Last updated
06/23/2020
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