Organization
TIMBERWOOD ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HOLTZ (CONTROLLER)
(541) 747-3373
Entity
Organization
Contact information
Practice address
1090 GATEWAY LOOP, SPRINGFIELD, OR 97477-1113
(541) 747-3373
Mailing address
1090 GATEWAY LOOP, SPRINGFIELD, OR 97477-1113
(541) 747-3373
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
08/22/2020
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