Organization
EC OPCO NORTHRIDGE, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY W. FLEMING (CONTROLLER)
(971) 337-3922
Entity
Organization
Contact information
Practice address
600 NEWTON RD, RALEIGH, NC 27615
(910) 692-4928
Mailing address
5885 MEADOWS RD STE 500, LAKE OSWEGO, OR 97035-8646
(971) 213-4234
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
HAL-092-207
NC
Other
Enumeration date
02/21/2018
Last updated
03/12/2019
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