| Inland Point Senior Estates Jv Llc | |
|
2265 Inland Drive North Bend OR 97459 | |
| (541) 756-9740 | |
| (541) 756-9739 |
| Full Name | Inland Point Senior Estates Jv Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2265 Inland Drive, North Bend, Oregon |
| Authorized Official Name and Position | Elizabeth M Moss (SENIOR EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5417560176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Point Senior Estates Jv Llc 3696 Broadway St Pmb 132 North Bend OR 97459-2200 Ph: (541) 756-9740 | Inland Point Senior Estates Jv Llc 2265 Inland Drive North Bend OR 97459 Ph: (541) 756-9740 |
| NPI Number | 1952595340 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 01/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952595340 | NPI | - | NPPES |
| 274679 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | APPLIED FOR (Oregon) | Primary |
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