Organization
AVALON HEALTH CARE - ROSE HAVEN, LLC
Active
Other names
Rose Haven Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE LINCOLN (SVP GOVERNMENT RELATIONS)
(801) 596-8844
Entity
Organization
Contact information
Practice address
740 NW HILL AVE, ROSEBURG, OR 97471-1672
(801) 596-8844
Mailing address
206 N 2100 W, SALT LAKE CITY, UT 84116-4740
(801) 596-8844
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
09/22/2016
Last updated
10/17/2016
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