Longview Senior Housing LLC
Point of Service in Salem, OR. Organization (NPI-2).
NPI number1508079880
StatusActive
Last updated in NPPESOct 4, 2007
Details
- NPI
- 1508079880
- Entity type
- Organization (NPI-2)
- Legal business name
- Longview Senior Housing LLC
- Organization subpart
- No
- Enumeration date
- May 7, 2007
- Last updated
- Oct 4, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | 1473 | WA | Yes |
Other names
- Monticello Park Retirement & Assisted Living Community (Doing Business As)
Practice location
3220 State StSuite 200
Salem, OR 97301-6872
Phone 503-566-5715 · Fax 503-588-3531
Mailing address
605 Broadway StLongview, WA 98632-3279
Phone 360-575-1778 · Fax 360-575-1786
Authorized official
Kelley D Hamilton
Ceo-Pres Of Manager
5035665715
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