Organization
GRANTS PASS ASSISTED LIVING LLC
Active
Other names
The Bridge Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
TODD MONROE WOOLLARD (MANAGING MEMBER)
(541) 956-2110
Entity
Organization
Contact information
Practice address
201 SW BRIDGE ST, GRANTS PASS, OR 97526-2925
(541) 956-2110
(541) 976-2109
Mailing address
201 SW BRIDGE ST, GRANTS PASS, OR 97526-2925
(541) 956-2110
(541) 976-2109
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509759
—
OR
Enumeration date
06/18/2020
Last updated
06/18/2020
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