Organization
SWEET HOME MC LLC
Active
Other names
Wiley Creek Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS SPROUL (MANAGEING MEMBER)
(503) 391-9999
Entity
Organization
Contact information
Practice address
4950 MOUNTAIN FIR ST, SWEET HOME, OR 97386
(503) 391-9999
Mailing address
650 HAWTHORNE AVE SE STE 210, SALEM, OR 97301-5895
(503) 391-9999
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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