Organization
DALLAS HEALTH CARE CENTER L L C
Active
Parent organization
DALLAS MENNONITE RETIREMENT COMMUNITY, INC.
Other names
Dallas Retirement Village Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DALLAS MENNONITE RETIREMENT COMMUNITY, INC.
Authorized official
MRS. JOY A HAVERKOST (DIRECTOR OF BUSINESS SERVICES)
(503) 391-7549
Entity
Organization
Contact information
Practice address
377 NW JASPER ST, DALLAS, OR 97338-1279
(503) 623-5581
(503) 623-2901
Mailing address
377 NW JASPER ST, DALLAS, OR 97338-1279
(503) 623-5581
(503) 623-2901
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500653791
—
OR
Enumeration date
11/12/2012
Last updated
06/03/2022
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