Organization
REGENCY AT SALEM, LLC
Active
Other names
Regency Woodland
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG DEVORE (CFO)
(425) 392-4066
Entity
Organization
Contact information
Practice address
4710 SUNNYSIDE RD SE, SALEM, OR 97302-3504
(503) 364-1355
Mailing address
4710 SUNNYSIDE RD SE, SALEM, OR 97302-3504
(503) 364-1355
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1848273693
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1848273693
STATE LICENSE
OR
Enumeration date
04/23/2009
Last updated
04/23/2009
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