Callahan Village II, LLC
Assisted Living Facility in Roseburg, OR. Organization (NPI-2).
NPI number1730307331
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1730307331
- Entity type
- Organization (NPI-2)
- Legal business name
- Callahan Village II, LLC
- Organization subpart
- No
- Enumeration date
- Apr 22, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | OR | Yes |
Other names
- Callahan Village Assisted Living Community (Doing Business As)
Practice location
1801 Nw Garden Valley BlvdRoseburg, OR 97470-1627
Phone 541-673-4500
Mailing address
3723 Fairview Industrial Dr SeSalem, OR 97302-1177
Phone 503-485-4600
Authorized official
Jon Harder
Manager
5034854600
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