Avalon Health Care - Corvallis Manor LLC
Skilled Nursing Facility in Corvallis, OR. Organization (NPI-2).
NPI number1023561925
StatusActive
Last updated in NPPESAug 17, 2022
Details
- NPI
- 1023561925
- Entity type
- Organization (NPI-2)
- Legal business name
- Avalon Health Care - Corvallis Manor LLC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2016
- Certification date
- Aug 17, 2022
- Last updated
- Aug 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Corvallis Manor Nursing & Rehabilitation Center (Doing Business As)
Practice location
160 Ne Conifer BlvdCorvallis, OR 97330-4162
Phone 541-757-1651
Mailing address
206 N 2100 WSlc, UT 84116-4740
Phone 801-596-8844 · Fax 801-596-9001
Authorized official
Charles Kirton
Ceo/Chairman
8015968844
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All 5 Skilled Nursing Facility providers in Corvallis · All 4,542 providers in Corvallis
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