Organization
SUSANVILLE LIMITED PARTNERSHIP
Active
Other names
Eagle Lake Village
Organization subpart
No
Provider details
NPI number
Authorized official
JON HARDER (MANAGER)
(503) 485-4600
Entity
Organization
Contact information
Practice address
2001 PAUL BUNYAN ROAD, SUSANVILLE, CA 96130
(530) 257-6673
Mailing address
3723 FAIRVIEW INDUSTRIAL DR SE, SUITE 270, SALEM, OR 97302
(503) 485-4600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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