Organization
MARJORIE HOUSE MCMINNVILLE, LLC
Active
Other names
Marjorie House Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WALLACE WRIGHT (MANAGER)
(801) 809-3958
Entity
Organization
Contact information
Practice address
2855 NE CUMULUS AVE, MCMINNVILLE, OR 97128-8864
(503) 474-4222
Mailing address
2855 NE CUMULUS AVE, MCMINNVILLE, OR 97128-8864
(503) 474-4222
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52-5856
—
OR
Enumeration date
06/16/2020
Last updated
06/16/2020
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