Sapphire At Myrtle Creek LLC
Skilled Nursing Facility in Myrtle Point, OR. Organization (NPI-2).
NPI number1043925852
StatusActive
Last updated in NPPESJan 16, 2023
Details
- NPI
- 1043925852
- Entity type
- Organization (NPI-2)
- Legal business name
- Sapphire At Myrtle Creek LLC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2023
- Certification date
- Jan 16, 2023
- Last updated
- Jan 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Myrtle Creek Rehabilitation And Care (Doing Business As)
Practice location
637 Ash StMyrtle Point, OR 97458-1133
Phone 503-887-7395
Mailing address
305 Ne 102nd Ave Ste 250Portland, OR 97220-4170
Phone 503-446-2877
Authorized official
Kevin Michael Ricker
Managing Member
5038877395
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